The pediatric clinic nurse calls a parent to report urinalysis ...

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The pediatric clinic nurse calls a parent to report urinalysis findings for her child including microscopic hematuria. Which question by the nurse is most appropriate?
 
  A.
  Has your child recently had strep throat?
  B.
  Has your child been in a bike or car crash?
  C.
  Has your child started menstruating yet?
  D.
  Has your child taken lots of bubble baths?

Question 2

A school-age child has renal disease and the parent wants to know how this could cause the child's hypertension. Which response by the nurse is the most appropriate?
 
  A.
  The high blood pressure caused the kidney disease.
  B.
  The kidneys regulate renin, which controls blood pressure.
  C.
  The medication your child takes often raises blood pressure.
  D.
  The renal diet includes a lot of sodium, which raises blood pressure.

[pallen55]

Answer to Question 1

ANS: A
The most common causes of microscopic hematuria include UTI, poststreptococcal glomerulonephritis, hypercalciuria, and structural abnormalities. Trauma would more likely cause gross hematuria. The other two questions are appropriate depending on the age and sex of the child, but do not assess for the most common reasons for this finding.

Answer to Question 2

ANS: B
The kidneys regulate renin, a hormone that controls blood pressure. Kidney abnormalities often affect renin, leading to hypertension. In a child this young, the kidney disease most likely came first; in adults, long-standing hypertension is a frequent cause of renal disease. Medications are not the reason. The typical renal diet is low in sodium.

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Excellent

[CAPTAINAMERICA]

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