A nurse is reinforcing teaching about laboratory testing with an adolescent who has suspected juvenile idiopathic arthritis. Which of the following laboratory tests should the nurse include?

Alanine aminotransferase

Erythrocyte sedimentation rate

Potassium

BUN

Answer and Explanation

The Correct Answer is B

A. Alanine aminotransferase (ALT) is a liver enzyme and not typically relevant for diagnosing juvenile idiopathic arthritis.
B. Erythrocyte sedimentation rate (ESR) is a marker of inflammation and is commonly used in the evaluation and monitoring of juvenile idiopathic arthritis.
C. Potassium levels are not directly related to juvenile idiopathic arthritis and its diagnosis.
D. BUN (blood urea nitrogen) is a measure of kidney function and is not specific to juvenile idiopathic arthritis.

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Correct Answer is C

Explanation

A. BUN level of 12 mg/dL is within normal range and does not indicate infection.
B. Urine specific gravity of 1.014 is within normal range and does not indicate infection.
C. A WBC count of 17,500/µL is elevated and indicates a possible infection, which should be reported immediately.
D. Urine osmolality of 500 mOsm/kg is within normal range and does not indicate infection.

A. Instruct the parent about antibiotic therapy. B. Implement droplet precautions. C. Perform chest physiotherapy. D. Administer gamma globulin.

Correct Answer is B

Explanation

A. Antibiotics are not effective against influenza, which is a viral infection. Antiviral medications may be used if prescribed.
B. Implementing droplet precautions helps to prevent the spread of the influenza virus, which is transmitted through respiratory droplets.
C. Chest physiotherapy is not typically indicated for influenza unless there are complications like pneumonia that require it.
D. Gamma globulin is not used for treating influenza type B. Antiviral medications and supportive care are the standard treatments.

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A nurse is reinforcing teaching about laboratory testing with an adolescent who has suspected juvenile idiopathic arthritis. Which of the following laboratory tests should the nurse include?

Nursing Test Bank

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