When assessing the laboratory values of a child with nephrosis, the nurse anticipates which results?
- A. High levels of protein in the urine
- B. High serum lipid levels
- C. Low serum protein levels
- D. Low hemoglobin
- E. High white blood cell count
Correct Answer: A,B,C
Rationale: A patient with nephrotic syndrome has high levels of serum lipids, low serum protein, and albumin in urine that is dark and frothy with a high specific gravity. The hemoglobin and WBC are usually normal.
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A teenage girl has been placed in a brace for the treatment of scoliosis, the most common skeletal deformity of adolescence. The family asks what they can do to be more supportive. What suggestion of the nurse is the most appropriate?
- A. Enrolling her in a health club
- B. Taking her to the mall in a wheelchair
- C. Purchasing clothes to disguise the cast
- D. Spending a majority of their time with her
Correct Answer: C
Rationale: The adolescent is trying to fit in with peers and has concerns about body image.
The nurse uses a diagram to show that the tetralogy of Fallot involves a combination of four congenital defects. What are the defects?
- A. Aortic stenosis, atrial septal defect, overriding aorta, left ventricular hypertrophy
- B. Pulmonary stenosis, ventricular septal defect, overriding aorta, right ventricular hypertrophy
- C. Aortic stenosis, atrial septal defect, overriding aorta, right ventricular hypertrophy
- D. Pulmonary stenosis, ventricular septal defect, aortic hypertrophy, left ventricular hypertrophy
Correct Answer: B
Rationale: Tetralogy of Fallot involves a combination of four congenital defects: pulmonary stenosis, ventricular septal defect, overriding aorta, and right ventricular hypertrophy.
What is the best time to administer pancreatic enzyme replacement?
- A. Before meals and snacks
- B. Before bedtime
- C. Early in the morning
- D. After meals and snacks
Correct Answer: A
Rationale: Pancreatic enzymes are administered before meals and snacks to digest carbohydrates, fats, and proteins.
The nurse is caring for a newborn with a myelomeningocele. Before surgery, what should the nursing interventions include?
- A. Leaving the lesion uncovered and placing the infant supine
- B. Covering the lesion with a sterile, saline-soaked gauze
- C. Applying lotion to the lesion to keep it moist
- D. Covering the lesion with a dry, sterile gauze
Correct Answer: B
Rationale: Nursing interventions for an infant with myelomeningocele include covering the lesion with a sterile, saline-soaked gauze.
When conducting a class for parents about sudden infant death syndrome (SIDS), the nurse instructs the class that the infant should be placed in which position to sleep?
- A. Right side-lying
- B. Left side-lying
- C. Prone
- D. Supine
Correct Answer: D
Rationale: The American Academy of Pediatrics recommends placing the infant on its back, or supine, to sleep.
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