The nurse analyzes the laboratory values of a pediatric client with leukemia who is receiving chemotherapy. The nurse notes the following lab values: platelets 19,500/mcl (nl. 140,000-400,000/mcL), hemoglobin 11 g/dL (nl. 12-16 g/dL), white blood cell count 9,800/mcl (nl. 5,000-10,000/mcL). Based on these findings, which intervention should the nurse prioritize in the plan of care?

Monitoring closely for signs of infection.

Transfusing packed red blood cells.

Administering intravenous immunoglobulins.

Initiating bleeding precautions.

Answer and Explanation

The Correct Answer is D

A. Monitoring for infection is important, but the white blood cell count is within normal limits, so it is not the immediate priority.

B. Although the hemoglobin is slightly low, it is not critically low, so transfusion of packed red blood cells is not immediately necessary.

C. Intravenous immunoglobulins are not indicated based on the current lab values.

D. The platelet count is critically low, placing the client at high risk for bleeding. Initiating bleeding precautions is the priority to prevent hemorrhage.

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Correct Answer is B

Explanation

A. Regular testing of urine for glucose is not specific to nephrotic syndrome and is more relevant for managing diabetes.

B. Weighing the child on the same scale each day is essential for monitoring fluid status and detecting early signs of fluid retention or loss, which are critical in managing nephrotic syndrome.

C. Increasing oral fluid intake may not be recommended due to the risk of fluid retention and edema, which are common in nephrotic syndrome.

D. While monitoring potassium levels is necessary when on diuretics like furosemide, a low-potassium diet is not routinely required unless hyperkalemia is present.

A. Enriched bread B. White beans C. Fortified cereal D. Spinach

Correct Answer is B

Explanation

A. Enriched bread may contain some calcium, but it's not as rich a source as other options.

B. White beans are a good source of calcium, which is important for bone health in preschoolers.

C. Fortified cereal may contain added calcium, but it may not be as naturally rich as other food sources.

D. While spinach contains calcium, it also contains oxalates, which can inhibit calcium absorption, making it a less effective source of dietary calcium.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

In caring for a pediatric client with nephrotic syndrome, which intervention should be included in the plan of care?

Correct Answer is B

Explanation

Which food suggestion would be most appropriate for the mother of a preschooler to ensure an adequate intake of calcium?

Correct Answer is B

Explanation

A nurse is performing a developmental assessment on a 4-year-old client. What assessment finding would warrant further investigation?

The nurse is caring for a pediatric client admitted with nephrotic syndrome. What assessment finding would likely be noted in a client with this diagnosis?

A nurse is planning care for a client who has acute glomerulonephritis. Which intervention should the nurse include in the plan when caring for this client?

The nurse should instruct the family of a pediatric client with newly diagnosed hyperthyroidism to expect which of the following symptoms?

A 1-month-old infant is seen in a clinic and is diagnosed with developmental dysplasia of the hip (DDH). On assessment, the nurse understands that which finding would be noted in this condition?

The nurse is reviewing the treatment plan with the parents of a newborn with hypospadias. Which statement should the nurse include in the teaching when describing this disorder?

An infant has been admitted to the pediatric unit with a diagnosis of pyloric stenosis. What would the nurse expect in the plan of care for this client?