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:

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.

A. Interactions with seizure medications. B. Increase in dystonia. C. Reduction in muscle tone. D. Decreased mobility.

Correct Answer is C

Explanation

Choice A rationale:

Baclofen from an intrathecal pump primarily affects muscle tone and spasticity, not seizure medications .

Choice B rationale:

Baclofen use generally leads to a reduction in dystonia , not an increase. It's used to manage spasticity, not exacerbate it.

Choice C rationale:

The correct answer. Baclofen administered via an intrathecal pump is intended to reduce muscle tone and spasticity, improving mobility and comfort for patients with conditions like cerebral palsy.

Choice D rationale:

Baclofen doesn't typically cause decreased mobility . In fact, its use is expected to enhance mobility by reducing spasticity.

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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

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

Correct Answer is B

Explanation

A nurse should plan to assess a child receiving Baclofen from an intrathecal pump for which effect?

Correct Answer is C

Explanation

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