Question

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

Answer 1

When assessing a school-age child for urosepsis, the nurse should expect to find fever with a positive blood culture, as these symptoms indicate a systemic infection likely originating from the urinary tract.

Step-by-step explanation:

Clinical Findings of Urosepsis in a School-Age Child

The condition described in the question refers to urosepsis, which is a form of sepsis caused by an infection in the urinary tract that has spread systemically. When assessing a school-age child suspected of having urosepsis, fever with a positive blood culture is an expected finding. Fever indicates the body's systemic inflammatory response to infection, and a positive blood culture confirms the presence of bacteria in the bloodstream, which indicates that the infection has indeed become systemic.

Oliguria (an abnormally small amount of urine) and hypertension can sometimes be associated with severe infections or sepsis, especially when the kidneys are involved. However, proteinuria and edema are more commonly associated with kidney conditions such as nephrotic syndrome, while anemia and thrombocytopenia are findings that can appear in many different clinical conditions but are not specific to urosepsis. Therefore, from the given options, fever with a positive blood culture is most characteristic of urosepsis.