A nurse is caring for a 5-year-old child who has acute poststreptococcal glomerulonephritis. Which of the following findings should indicate to the nurse that treatment has been effective?
Explanation & Rationale
A. Odorless urine is generally a normal finding, it is not a specific indicator of the effectiveness of treatment for acute poststreptococcal glomerulonephritis. The presence or absence of odor in urine does not directly reflect the resolution of glomerulonephritis or the effectiveness of treatment. B. A temperature of 37.2° C (99° F) is slightly elevated but not considered feverish. In the context of APSGN, monitoring for fever is important because persistent or high fever could indicate ongoing infection or inflammation. While normalization of temperature can be a positive sign, it alone is not a definitive indicator of treatment effectiveness for APSGN. C. Clear urine is a positive sign that suggests the resolution of hematuria (blood in urine) and possibly a reduction in the amount of protein in the urine. In APSGN, the presence of blood and proteinuria (protein in urine) are common symptoms, so a transition to clear urine can indicate that the kidneys are returning to a more normal state, making this a good indicator of treatment effectiveness. D. Pain with voiding is not typically a symptom of APSGN; it is more commonly associated with urinary tract infections or other urinary issues. Therefore, the absence of pain with voiding does not specifically indicate the effectiveness of treatment for APSGN.