A nurse is caring for a preschooler who has nephrotic syndrome. Which of the following findings should the nurse report to the provider?
Platelet count 200,000/mm
Hematocrit (Hct) 40%
Blood protein 5.0 g/dL
Hemoglobin (Hgb) 14.5 g/dL
The Correct Answer is C
Choice A reason: A platelet count of 200,000/mm is within the normal range and does not need to be reported.
Choice B reason: A hematocrit of 40% is also within the normal range for a preschooler and does not require reporting.
Choice C reason: A blood protein level of 5.0 g/dL is low and indicative of nephrotic syndrome, which can lead to serious complications if not addressed.
Choice D reason: A hemoglobin level of 14.5 g/dL is within the normal range and does not need to be reported.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Enuresis can lead to emotional problems such as embarrassment, frustration, and low self-esteem, especially if not managed with sensitivity and support.
Choice B reason: While urinary tract infections can cause enuresis, they are not typically a complication of enuresis itself.
Choice C reason: Urosepsis is a severe infection that can result from a urinary tract infection but is not a common complication of enuresis.
Choice D reason: Progressive kidney disease is not a complication of enuresis. Enuresis is a symptom that can occur in various conditions, including kidney disease, but it does not cause the disease to progress.
Correct Answer is ["B","D","E"]
Explanation
Choice A reason: Waiting 30 seconds between puffs allows the medication to settle and ensures the second puff is as effective as the first.
Choice B reason: Shaking the device before use helps to mix the medication properly, ensuring a consistent dose with each inhalation.
Choice C reason: Exhaling quickly after inhalation is not recommended; instead, the patient should hold their breath for a few seconds to allow the medication to reach deep into the lungs.
Choice D reason: Rinsing the mouth and expectorating after administration prevents oral thrush, a common side effect of inhaled corticosteroids.
Choice E reason: Inhaling slowly ensures that the medication is delivered deeply into the lungs for maximum efficacy.
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