A nurse is caring for a preschooler who has nephrotic syndrome. Which of the following findings should the nurse report to the provider?

Platelet count 200,000/mm

Hematocrit (Hct) 40%

Blood protein 5.0 g/dL

Hemoglobin (Hgb) 14.5 g/dL

Answer and Explanation

The Correct Answer is C

Choice A reason: A platelet count of 200,000/mm is within the normal range and does not need to be reported.

Choice B reason: A hematocrit of 40% is also within the normal range for a preschooler and does not require reporting.

Choice C reason: A blood protein level of 5.0 g/dL is low and indicative of nephrotic syndrome, which can lead to serious complications if not addressed.

Choice D reason: A hemoglobin level of 14.5 g/dL is within the normal range and does not need to be reported.

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Correct Answer is B

Explanation

Choice A reason: This choice is incorrect because a CD4+ T-cell count of less than 200 cells/µL and the presence of PCP are indicative of AIDS, not the chronic asymptomatic phase of HIV.

Choice B reason: This is the correct choice. A CD4+ T-cell count of less than 200 cells/µL and an opportunistic infection such as PCP meet the CDC criteria for an AIDS diagnosis.

Choice C reason: This choice is incorrect. A CD4+ T-cell count of less than 200 cells/µL is below the normal range and is one of the criteria for an AIDS diagnosis.

Choice D reason: This choice is incorrect because the acute HIV infection phase is characterized by a high viral load and a decrease in CD4+ T-cell count, but not necessarily below 200 cells/µL or the presence of opportunistic infections.

A. Sweat chloride content 85 mEq/L B. 72-hour stool analysis sample indicating hard, packed stools C. Increased blood levels of fat-soluble vitamins D. Chest x-ray negative for atelectasis

Correct Answer is A

Explanation

Choice A reason: A sweat chloride content of 85 mEq/L is indicative of cystic fibrosis, as normal values are below 30 mEq/L, and values above 60 mEq/L are diagnostic for cystic fibrosis.

Choice B reason: Hard, packed stools could be a sign of cystic fibrosis but are not as diagnostic as a sweat chloride test.

Choice C reason: Increased blood levels of fat-soluble vitamins are not typically associated with cystic fibrosis; patients often have deficiencies due to malabsorption.

Choice D reason: A chest x-ray negative for atelectasis does not indicate cystic fibrosis, as atelectasis can be present in many conditions.

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A nurse is caring for a preschooler who has nephrotic syndrome. Which of the following findings should the nurse report to the provider?

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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

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