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 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.

A. Place a folded blanket under the child's head. B. Put a tongue blade between the child's teeth. C. Administer magnesium sulfate IM to the child. D. Prevent movement of the child's extremities.

Correct Answer is A

Explanation

A. Placing a folded blanket or any soft object under the child's head helps to protect the head from injury during the seizure. Ensuring safety is a priority during a seizure.
B. Putting a tongue blade or any object between the child's teeth can cause injury to the child. It is no longer recommended to place anything in the mouth during a seizure.
C. Magnesium sulfate is not indicated for treating tonic-clonic seizures. The focus should be on maintaining safety and monitoring the seizure.
D. Preventing movement of the child's extremities can cause injury. Instead, the nurse should protect the child from harm and ensure the environment is safe.

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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

Naxlex Comprehensive Predictor Exams

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