A nurse is reviewing the laboratory report of an 8-year-old child who has nephrotic syndrome. Which of the following laboratory results should the nurse report to the provider?

Sodium 140 mEq/L

Platelet count 350,000/mm3

Protein 2 g/dL

Cholesterol 170 mg/dL

Answer and Explanation

The Correct Answer is C

Choice A rationale:

The sodium level of 140 mEq/L is within the normal range for children, which is 135 to 145 mEq/L. Sodium levels may be low in nephrotic syndrome due to fluid retention and dilutional hyponatremia, but this is not the case for this child.

Choice B rationale:

The platelet count of 350,000/mm3 is within the normal range for children, which is 150,000 to 450,000/mm3. Platelet levels may be elevated in nephrotic syndrome due to increased production by the bone marrow in response to inflammation and infection, but this is not the case for this child.

Choice C rationale:

The nurse should report the protein level of 2 g/dL to the provider, as this is abnormally low and indicates severe proteinuria. Proteinuria is a hallmark of nephrotic syndrome, as the glomeruli become damaged and allow protein to leak into the urine. Normal protein levels for children are 6 to 8 g/dL. Low protein levels can lead to edema, hypoalbuminemia, and hyperlipidemia.

Choice D rationale:

The cholesterol level of 170 mg/dL is within the normal range for children, which is less than 200 mg/dL. Cholesterol levels may be high in nephrotic syndrome due to increased synthesis by the liver as a compensatory mechanism for low protein levels, but this is not the case for this child.

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Correct Answer is C

Explanation

Choice A rationale:

Exhibiting grief response behaviors may indicate the client is processing emotions related to the assault but may not necessarily indicate effectiveness of the plan of care.

Choice B rationale:

Stating a desire for revenge suggests unresolved anger and is not indicative of effective coping or progress.

Choice C rationale:

A sign of effectiveness in the plan of care for a client who has experienced sexual assault is the client's willingness to seek guidance and support in making important life decisions. This indicates a sense of trust in the nurse and a desire to move forward in a positive way.

Choice D rationale:

Demonstrating an increase in regressive behavior might indicate emotional distress but does not necessarily indicate effectiveness of the plan of care.

A. "This medication might cause hypoglycemia." B. "Place this medication under your child's tongue." C. "This medication might cause ringing in your child's ears," D. "Measure your child's height monthly while taking this medication."

Correct Answer is A

Explanation

Choice A rationale:

Somatropin can affect glucose metabolism and may lead to hypoglycemia. Parents should be aware of this potential side effect and monitor their child's blood sugar levels.

Choice B rationale:

Somatropin is usually administered via injection, not under the tongue.

Choice C rationale:

Ringing in the ears is not a common side effect of somatropin.

Choice D rationale:

Monitoring height monthly is important, but explaining the potential for hypoglycemia is more relevant to the immediate safety of the child.

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A nurse is reviewing the laboratory report of an 8-year-old child who has nephrotic syndrome. Which of the following laboratory results should the nurse report to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is evaluating the effectiveness of the plan of care for a client who has experienced sexual assault. Which of the following findings indicates effectiveness of the plan of care?

Correct Answer is C

Explanation

A nurse is providing teaching to the parents of a school-age child who has a new prescription for somatropin to treat growth hormone deficiency. Which of the following statements should the nurse make?

Correct Answer is A

Explanation

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