Which clean-catch urinalysis finding should the nurse be most concerned for a child who is admitted to an urgent care center to rule out a urinary tract infection?
1. 2+ white blood cells
2. 1+ red blood cells
3. Urine appearance: cloudy
4. Specific gravity: 1009
4
Explanation:
1. White blood cells are expected.
2. Red blood cells are common in the urine of a child with a urinary tract infection.
3. With white blood cells in the urine, this is a common finding.
4. This is a very dilute urine. With white blood cells (WBCs), red blood cells (RBCs), and bacteria in the urine, you would expect the urine to contain more solutes.
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