Pediatric Nursing Demystified

Test Results

Urinalysis: Presence of WBC, RBC, and nitrites.

Urine culture and sensitivity: Identifies microorganism and the antibiotic

that kills the microorganism.

Treatment

Administer antibiotics:

• Nitrofurantoin


• Ciprofloxacin


• Levofloxacin


• Ofloxacin


• Trimethoprim-sulfamethoxazole


• Ampicillin


• Amoxicillin
  Encourage fluids, to make urine less concentrated.
  Administer phenazopyridine for symptoms of dysuria.
  Repeat urine testing after antibiotics are completed.

Nursing Intervention

Monitor intake and output.

Monitor vital signs for changes, signs of fever.

Encourage fluid intake.

Encourage cranberry juice to acidify urine.

Teach patient that phenazopyridine will cause orange-colored urine.

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CHAPTER 12/ Genitourinary Conditions^271

CASE STUDY

Judy Miller, age 6, arrived at the Emergency Department with her mother

at 5 PM. Her mother reported that she had become lethargic in recent days.

Her mother became concerned when she felt warm to the touch and had-

n’t urinated as much as she normally would. The mother reports that Judy

had a strep throat 4 weeks ago, but she recovered and she was fine up to

a few days ago.

Assessment data:Temperature 101.3°F +1 pitting edema bilaterally arms

and legs. Slight edema around the eyes. Urine analysis showed hema-

turia, proteinuria, and specific gravity is 1.034 g/mL. Blood serum shows

elevated creatinine and BUN. Urine culture and sensitivity is positive for

streptococcal bacteria.