Pediatric ATI Practice Exam

Which assessment finding should be reported urgently for a child with renal concerns?

1. Frequent urination

2. Brown colored urine

3. Dry mouth

4. Decreased appetite

The correct answer is: Brown colored urine

The finding of brown-colored urine in a child with renal concerns is significant and warrants urgent reporting due to its potential implications. Brown urine may indicate the presence of hematuria (blood in the urine) or myoglobinuria, conditions that can arise from various renal issues such as glomerulonephritis, hemolytic uremic syndrome, or muscle breakdown (rhabdomyolysis). Each of these conditions can have serious consequences if not addressed promptly, making it essential for healthcare providers to investigate the underlying cause of the brown urine. In contrast, frequent urination can occur for a variety of reasons, such as increased fluid intake or urinary tract infections, and while it is notable, it does not have the same level of urgency. Dry mouth may indicate dehydration but is generally less alarming compared to changes in urine color, and decreased appetite could stem from a range of non-emergency conditions. Thus, when evaluating the seriousness of the symptomatology in the context of renal health, brown-colored urine stands out as a critical finding that should be addressed immediately to prevent further complications.