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    HESI Pediatric N158 Proctored Exam

    The nurse is assessing a child with acute glomerulonephritis who presents with increased fatigue, facial puffiness, decreased appetite. The child's urine sample is dark yellow in color. Which additional finding should the nurse report to the healthcare provider?

    Explanation & Rationale

    The nurse should report a positive rapid strep test of the oropharynx to the healthcare provider. Acute glomerulonephritis is often caused by a recent streptococcal infection, and a positive rapid strep test would confirm this as the underlying cause A blood pressure of 88/50 mmHg is within the normal range for a child and would not need to be reported. A maculopapular rash over the trunk of the body is not typically associated with acute glomerulonephritis and would not need to be reported. Weight loss may occur with acute glomerulonephritis due to decreased appetite, but it is not an urgent finding that needs to be reported immediately.

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