0930:

Child presents to ED with parents. Parents report child has had a fever for 2 days and cries during urination. Parents also report child has had to urinate frequently for the last 24 hr and is febrile and lethargic. Child is cooperative during light palpation and percussion of the costovertebral angle.

0945:

Provider notified of parental reports and fever. New prescriptions received.

1000:

Urine sample obtained via straight catheterization

0930:

Temperature 38.2° C (100.7° F)
Heart rate 118/min
Respiratory rate 25/min

0945:

Obtain urine sample for urinalysis and culture and sensitivity.

Obtain comprehensive metabolic panel and CBC.

1030:

Urinalysis:

pH 8.2 (4.6 to 8.0)

Appearance cloudy, dark amber (clear, amber yellow)

Specific gravity 1.035 (1.005 to 1.030)

Leukocyte esterase present (negative)

Nitrites present (none)

WBC 10(0 to 4)

Protein 6 mg/dL (0 to 8 mg/dL)

Comprehensive metabolic panel:

Glucose 70 mg/dL (60 to 100 mg/dL)

Sodium 140 mEq/L (136 to 145 mEq/L)

Potassium 4.5 mEq/L (3.4 to 4.7 mEq/L)

Alanine transaminase 22 international units (4 to 36 international units)

Aspartate aminotransferase 40 units/L (15 to 60 units/L)

BUN 16 mg/dL (5 to 18 mg/dL)

Creatinine 0.2 mg/dL (0.1 to 0.4 mg/dL)

CBC:

WBC count 12,000/mm3 (6,200 to 17,000/mm3)

Hgb 10 g/dL (9.5 to 14 g/dL)

Ati Pn Pediatric Nursing Proctored Exam ( 70 Questions)

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