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
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.
Nursing Test Bank
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Related Questions
Correct Answer is D
Explanation
A. Bedrest is not specifically required for children with varicella; activity should be based on the child's energy levels and comfort.
B. Bathing can be done carefully even with crusted lesions. Good hygiene can help prevent secondary infections.
C. If the guardian has had chickenpox, they are usually immune and do not need to wear a mask. The concern is more for immunocompromised individuals.
D. The child is no longer contagious once all the lesions have crusted over, making it safe to take them to the playroom.
Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"C"}
Explanation
The nurse should clarify the child's prescription of dextrose 5% in 0.45% sodium chloride with 20 mEq potassium chloride/L at 75 mL/hr because of the child's laboratory values. The elevated potassium level of 6.2 mEq/L, which is above the normal range of 3.4 to 4.7 mEq/L, indicates hyperkalemia. Administering additional potassium could exacerbate this condition, therefore, it is crucial to review the prescription and adjust it accordingly to ensure the safety and well-being of the child.
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