A child is admitted to the hospital with a diagnosis of "rule out" urinary tract infection. A clean-catch urine specimen is submitted to the lab. When the results return, the nurse evaluates the findings
Which finding would the nurse question? 1. 2+ White blood cells
2. 1+ red blood cells
3. Urine appearance: cloudy
4. Specific gravity: 1009
4
Rationale 1: White blood cells are expected.
Rationale 2: Red blood cells are common in the urine of a child with a urinary tract infection.
Rationale 3: With white blood cells in the urine, this is a common finding.
Rationale 4: This is a very dilute urine. With WBCs, RBCs, and bacteria in the urine, you would expect the urine to contain more solutes.
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