A nurse is reinforcing teaching about laboratory testing with an adolescent who has suspected juvenile idiopathic arthritis. Which of the following laboratory tests should the nurse include?

Alanine aminotransferase

Erythrocyte sedimentation rate

Potassium

BUN

Answer and Explanation

The Correct Answer is B

A. Alanine aminotransferase (ALT) is a liver enzyme and not typically relevant for diagnosing juvenile idiopathic arthritis.
B. Erythrocyte sedimentation rate (ESR) is a marker of inflammation and is commonly used in the evaluation and monitoring of juvenile idiopathic arthritis.
C. Potassium levels are not directly related to juvenile idiopathic arthritis and its diagnosis.
D. BUN (blood urea nitrogen) is a measure of kidney function and is not specific to juvenile idiopathic arthritis.

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Correct Answer is []

Explanation

Potential Condition: Increased intracranial pressure

Actions to Take:

Measure head circumference: This action is important to monitor for signs of increasing intracranial pressure, as a bulging and tense fontanel suggests possible hydrocephalus or other intracranial pathology.

Plan to assist with administration of antibiotics: Antibiotics may be necessary if there is suspected meningitis or another infectious cause contributing to increased intracranial pressure.

Parameters to Monitor:

Behavioral changes: Monitor for irritability, difficulty to console, and other behavioral changes which can indicate neurological distress.

Pupillary response: Assess for changes in pupillary size and reactivity, as altered pupillary responses can indicate neurological involvement and increased intracranial pressure.

A. BUN 12 mg/dL B. Urine specific gravity 1.014 C. WBC 17,500/ D. Urine osmolality 500 mOsm/kg

Correct Answer is C

Explanation

A. BUN level of 12 mg/dL is within normal range and does not indicate infection.
B. Urine specific gravity of 1.014 is within normal range and does not indicate infection.
C. A WBC count of 17,500/µL is elevated and indicates a possible infection, which should be reported immediately.
D. Urine osmolality of 500 mOsm/kg is within normal range and does not indicate infection.

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A nurse is reinforcing teaching about laboratory testing with an adolescent who has suspected juvenile idiopathic arthritis. Which of the following laboratory tests should the nurse include?

Nursing Test Bank

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Correct Answer is []

Explanation

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Correct Answer is C

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