A nurse is caring for a pediatric patient with nephrotic syndrome. Which urine lab value should the nurse monitor?

Protein.

pH.

Leukocytes.

Ketones.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Monitoring urine protein is crucial in pediatric patients with nephrotic syndrome. Nephrotic syndrome involves damage to the glomeruli in the kidneys, causing excessive protein loss in the urine, leading to hypoalbuminemia and edema.

Choice B rationale:

Urine pH is not typically a primary concern in nephrotic syndrome. This condition is more focused on proteinuria, hypoalbuminemia, and edema.

Choice C rationale:

Leukocytes in the urine may indicate a urinary tract infection (UTI), but this is not a hallmark feature of nephrotic syndrome. UTIs are not the primary concern in this scenario.

Choice D rationale:

Ketones in the urine could indicate diabetic ketoacidosis or starvation, which are not directly related to nephrotic syndrome. Ketones are not a key indicator in nephrotic syndrome assessment.

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Correct Answer is B

Explanation

Choice A rationale:

The identification band falling off the patient's leg is a documentation concern and doesn't require immediate action unless the patient is at risk of wandering or abduction.

Choice B rationale:

IV fluids should be changed every 24 hours to prevent bacterial growth and infection. Using fluids that are 48 hours old increases the risk of introducing infection to the patient.

Choice C rationale:

The crib rails being halfway up is not an immediate concern unless the child is at risk of falling or climbing out of the crib.

Choice D rationale:

Damp bed linen can be addressed during the next bedding change. It may not require immediate action unless the patient's skin integrity is at risk.

A. Educating caregivers on sensory impairment. B. Preventing infection. C. Correction of joint contractures. D. Measuring daily head circumference.

Correct Answer is B

Explanation

Choice A rationale:

While educating caregivers on sensory impairment is important for an infant with myelomeningocele, preventing infection takes precedence as the priority nursing intervention.

Choice B rationale:

The correct answer. Preventing infection at the site of the myelomeningocele is crucial to avoid potentially life-threatening complications, such as meningitis. The exposed neural tissue poses a significant infection risk.

Choice C rationale:

Correcting joint contractures is important but is a secondary concern compared to preventing infection, which can have more immediate and severe consequences.

Choice D rationale:

Measuring daily head circumference is important to monitor for hydrocephalus in these infants, but preventing infection remains the higher priority.

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A nurse is caring for a pediatric patient with nephrotic syndrome. Which urine lab value should the nurse monitor?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a 2-year-old patient. Which observation requires immediate action by the nurse?

Correct Answer is B

Explanation

Which is the priority nursing intervention for an infant diagnosed with myelomeningocele?

Correct Answer is B

Explanation

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