ATI Pediatric Practice Questions Related

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Which urinalysis result should the nurse anticipate for a child admitted with acute glomerulonephritis?

  • A. Bacteriuria and increased specific gravity
  • B. Hematuria and proteinuria
  • C. Proteinuria and decreased specific gravity
  • D. Bacteriuria and hematuria
Correct Answer: B

Rationale: In acute glomerulonephritis, the glomeruli become inflamed, leading to the leakage of red blood cells (hematuria) and proteins (proteinuria) into the urine. These are hallmark findings in this condition due to the damage to the glomerular filtration barrier. Bacteriuria, presence of bacteria in the urine, is not typically associated with acute glomerulonephritis unless there is a concurrent urinary tract infection. Specific gravity may be normal or decreased due to the loss of proteins in the urine, rather than increased. Therefore, the correct anticipated urinalysis result for a child with acute glomerulonephritis is hematuria and proteinuria.