A nurse is reviewing the laboratory results of an adolescent who has chronic glomerulonephritis. Which of the following findings should the nurse expect?

BUN 50 mg/dL.

Serum phosphorus 4.0 mg/dL.

Serum potassium.8 mEq/L.

Absence of proteinuria.

Answer and Explanation

The Correct Answer is A

Chronic glomerulonephritis is a condition that causes inﬂammation of the glomeruli, which are tiny ﬁltering units in the kidneys.
This can lead to poor kidney function and an increase in waste products in the bloodstream.
Blood urea nitrogen (BUN) is a waste product that is normally ﬁltered by the kidneys and excreted in urine.
A BUN level of 50 mg/dL is higher than the normal range, indicating poor kidney function.
Choice B is incorrect because a serum phosphorus level of 4.0 mg/dL is within
the normal range for adults.
Choice C is incorrect because a serum potassium level of.8 mEq/L is within the normal range for adults.
Choice D is incorrect because proteinuria (the presence of protein in urine) is a
common ﬁnding in glomerulonephritis.

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Free Nursing Study Resources

Correct Answer is A

Explanation

The correct answer is choice a. Reposition the child every 2 hr.

Choice A rationale:

Repositioning the child every 2 hours is essential to prevent complications such as pressure ulcers and to promote comfort and circulation.

Choice B rationale:

Removing the traction boot during baths is not recommended as it can disrupt the traction setup and potentially worsen the condition.

Choice C rationale:

Reducing fluid intake is not necessary for managing Legg-Calve-Perthes disease and could lead to dehydration.

Choice D rationale:

Applying antibiotic ointment to pin sites daily is not applicable in this scenario as Buck extension traction typically does not involve pin sites.

A. Limit visitors to immediate family members. B. Maintain the infant in the supine position. C. Provide a latex-free environment. D. Initiate contact precautions.

Correct Answer is C

Explanation

Infants with spina biﬁda are at an increased risk of developing a latex allergy
due to repeated exposure to latex products during medical procedures.
Providing a latex-free environment can help prevent the development of an allergy.
Choice A is not correct because limiting visitors to immediate family members is not necessary for the care of an infant undergoing surgical closure of the myelomeningocele sac.
Choice B is not correct because maintaining the infant in the supine position is not necessary for this procedure.
Choice D is not correct because initiating contact precautions is not necessary for this procedure.

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A nurse is reviewing the laboratory results of an adolescent who has chronic glomerulonephritis. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a child who has Legg-Calve-Perthes disease and is in Buck extension traction. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is planning care for an infant who has spina bifida and is to undergo surgical closure of the myelomeningocele sac. Which of the following interventions should the nurse include in the plan of care?

Correct Answer is C

Explanation

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