An Adolescent Has 2+ Proteinuria in a Random Dipstick Urinalysis

question 4

Multiple Choice

An adolescent has 2+ proteinuria in a random dipstick urinalysis. A subsequent first-morning voided specimen is negative. What will the primary care pediatric nurse practitioner do to manage this condition?

• A) Monitor for proteinuria at each annual well child examination.
• B) Order a 24-hour timed urine collection for creatinine and protein excretion.
• C) Reassure the parents that this is a benign condition with no follow-up needed.
• D) Refer the child to a pediatric nephrologist for further evaluation.

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Definitions:

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An autoimmune disorder where ingestion of gluten leads to damage in the small intestine.

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A surgical procedure to treat pyloric stenosis by splitting the muscles of the pylorus to allow food to pass more easily from the stomach to the duodenum.