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?

Question

Quizplus · Accepted Answer

A finding of 2+ proteinuria on a random dipstick urinalysis in an adolescent may be a benign finding. However, it is recommended to monitor for proteinuria at each annual well child examination. If the proteinuria persists or if there are any other concerning symptoms or findings, further evaluation by a pediatric nephrologist may be necessary. A 24-hour timed urine collection for creatinine and protein excretion may be ordered if the initial finding is persistent or if there are other concerning symptoms or findings, but is not necessary in this case. Reassuring the parents without further evaluation or monitoring is not recommended.

An Adolescent Has 2+ Proteinuria in a Random Dipstick Urinalysis