Burns Pediatric Primary Care 7th Edition Test Bank Related

Review Burns Pediatric Primary Care 7th Edition Test Bank related questions and content

The nurse is conducting an assessment on a school-age child with urosepsis. Which assessment finding should the nurse expect?

  • A. Fever with a positive blood culture
  • B. Proteinuria and edema
  • C. Oliguria and hypertension
  • D. Anemia and thrombocytopenia
Correct Answer: A

Rationale: In a school-age child with urosepsis, the nurse should expect the assessment finding of fever with a positive blood culture. Urosepsis is a severe infection in the urinary tract that has spread to the bloodstream, causing systemic symptoms such as fever. Positive blood cultures indicate the presence of bacteria in the bloodstream, confirming the diagnosis of sepsis. Other common symptoms of urosepsis may include chills, rapid heart rate, increased respiratory rate, and altered mental status. Proteinuria and edema (choice B) are more indicative of kidney disorders such as nephrotic syndrome rather than urosepsis. Oliguria and hypertension (choice C) may be seen in conditions like acute kidney injury but are not specific to urosepsis. Anemia and thrombocytopenia (choice D) are more characteristic of conditions such as hemolytic uremic syndrome rather than urosepsis.