A nurse is caring for a pediatric patient with nephrotic syndrome. Which urine lab value should the nurse monitor?
Protein.
pH.
Leukocytes.
Ketones.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Waiting to discuss the surgery until the child asks specific questions might lead to increased anxiety as the child may be apprehensive about the surgery but unable to express their concerns.
Choice B rationale:
Setting aside an hour a day to talk about the child's feelings concerning the surgery can be overwhelming for a 5-year-old, potentially increasing anxiety and making the procedure seem more daunting.
Choice C rationale:
Reading the child a story about children of similar age who go to the hospital for surgery provides a developmentally appropriate approach. It helps the child understand the process through relatable characters, reducing fear and uncertainty about the upcoming experience.
Choice D rationale:
Having the child visit a family whose preschool child has just been discharged from the hospital might expose the child to unfamiliar situations, possibly leading to more confusion and anxiety.
Correct Answer is B
Explanation
Choice A rationale:
Planning for nurses to provide feedings is not necessary since this is not related to the nursing care plan and doesn't address the mother's concern.
Choice B rationale:
Reporting the finding to the health care provider is appropriate because vomiting after surgical repair of hypertrophic pyloric stenosis could indicate a potential complication or issue.
Choice C rationale:
Assuring the mother that vomiting after surgical repair is normal might not be accurate and could dismiss a potentially significant concern.
Choice D rationale:
Telling the mother it is all right to feel anxious doesn't address the vomiting concern directly and might not be the most pertinent response at this time.
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