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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Preschool-age children are beginning to understand causality, but they do not fully grasp the cause of illnesses, which often involves complex biological processes.
Choice B reason: While preschoolers are becoming more aware of their bodies, they typically do not have a detailed understanding of body functioning.
Choice C reason: Preschoolers may describe how they feel when they are ill, but they usually cannot accurately describe the manifestations of illnesses.
Choice D reason: Preschoolers often engage in magical thinking, where they believe their thoughts can cause events. This is a normal part of their cognitive development and can include relating fears to magical thinking.
Correct Answer is D
Explanation
Choice A reason: Surgery is not typically indicated for a hydrocele in infants as the condition often resolves on its own.
Choice B reason: Retracting the foreskin and cleansing several times daily is not related to the care of a hydrocele.
Choice C reason: Genetic counseling is not indicated for a hydrocele as it is not typically associated with genetic conditions.
Choice D reason: Most hydroceles in infants are non-communicating and resolve spontaneously without intervention.
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