A nurse is caring for a pediatric patient with nephrotic syndrome. Which urine lab value should the nurse monitor?

Protein.

pH.

Leukocytes.

Ketones.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Monitoring urine protein is crucial in pediatric patients with nephrotic syndrome. Nephrotic syndrome involves damage to the glomeruli in the kidneys, causing excessive protein loss in the urine, leading to hypoalbuminemia and edema.

Choice B rationale:

Urine pH is not typically a primary concern in nephrotic syndrome. This condition is more focused on proteinuria, hypoalbuminemia, and edema.

Choice C rationale:

Leukocytes in the urine may indicate a urinary tract infection (UTI), but this is not a hallmark feature of nephrotic syndrome. UTIs are not the primary concern in this scenario.

Choice D rationale:

Ketones in the urine could indicate diabetic ketoacidosis or starvation, which are not directly related to nephrotic syndrome. Ketones are not a key indicator in nephrotic syndrome assessment.

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Correct Answer is B

Explanation

Choice A rationale:

The identification band falling off the patient's leg is a documentation concern and doesn't require immediate action unless the patient is at risk of wandering or abduction.

Choice B rationale:

IV fluids should be changed every 24 hours to prevent bacterial growth and infection. Using fluids that are 48 hours old increases the risk of introducing infection to the patient.

Choice C rationale:

The crib rails being halfway up is not an immediate concern unless the child is at risk of falling or climbing out of the crib.

Choice D rationale:

Damp bed linen can be addressed during the next bedding change. It may not require immediate action unless the patient's skin integrity is at risk.

A. Assess the infant's ability to roll over. B. Put a nesting pillow around the infant. C. Put the side rail all the way up. D. Call for someone else to get the tube.

Correct Answer is D

Explanation

Choice A rationale:

Assessing the infant's ability to roll over is unrelated to the situation. The nurse's focus should be on safely retrieving the nasogastric tube without leaving the infant alone.

Choice B rationale:

Using a nesting pillow is not appropriate in this scenario. The nurse should prioritize getting the nasogastric tube rather than introducing unnecessary items into the crib.

Choice C rationale:

Putting the side rail all the way up might hinder the nurse's ability to access the counter and the nasogastric tube. It is not the most effective action in this situation.

Choice D rationale:

Calling for assistance ensures that the infant's safety is maintained while the nurse retrieves the nasogastric tube. Leaving the infant unattended increases the risk of harm, so involving someone else is the appropriate action.

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A nurse is caring for a pediatric patient with nephrotic syndrome. Which urine lab value should the nurse monitor?

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Naxlex Comprehensive Predictor Exams

The nurse is caring for a 2-year-old patient. Which observation requires immediate action by the nurse?

Correct Answer is B

Explanation

A nurse is caring for a 2-month-old infant in a crib and needs the nasogastric tube on the counter near the sink. The nurse would now:.

Correct Answer is D

Explanation

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