While assessing a preadolescent client, the nurse notes curvature of the client's spine. Which statement by the parent supports this observation?

“I've wondered why my child won't let me in the room when changing clothes."

"My child has such a hard time finding pants that fit right. They never seem to fit evenly over the hips."

"My child has been reporting back pain for the last 2 or 3 months."

"My child has been taking ibuprofen daily for the last few weeks because of hip pain after walking so much at school."

Answer and Explanation

The Correct Answer is B

A. The child’s reluctance to change clothes in front of others might suggest body image issues, but it doesn’t directly indicate spinal curvature.

B. Difficulty finding pants that fit evenly over the hips could indicate a scoliosis-related curvature, where one hip may be higher than the other.

C. Back pain could be related to various conditions, including scoliosis, but by itself, it’s not definitive for spinal curvature.

D. Daily use of ibuprofen for hip pain may indicate musculoskeletal issues but doesn’t directly relate to spinal curvature or scoliosis.

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Correct Answer is A

Explanation

A. Hemophilia is a bleeding disorder that affects the clotting process, and the partial thromboplastin time (PTT) is typically prolonged in individuals with hemophilia, indicating a deficiency in clotting factors.

B. Hemoglobin levels may remain normal unless the client experiences significant bleeding episodes.

C. Platelet count is usually normal in hemophilia, as the disorder affects clotting factors rather than platelet production.

D. Hematocrit levels may also remain normal unless there is significant bleeding, which would lower hematocrit due to blood loss.

A. Improvement in neurologic function B. Weight gain C. Absence of protein in urine sampling D. Negative gram stain via urine culture

Correct Answer is C

Explanation

A. Neurologic function is not typically affected by nephrotic syndrome, so improvement in this area is not an indicator of recovery.

B. Weight gain might indicate fluid retention rather than recovery in nephrotic syndrome.

C. The absence of protein in the urine indicates that the kidneys are functioning properly and that the syndrome is resolving. Proteinuria is a hallmark of nephrotic syndrome, so its resolution is a key sign of recovery.

D. A negative gram stain is more relevant to infections, not nephrotic syndrome.

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While assessing a preadolescent client, the nurse notes curvature of the client's spine. Which statement by the parent supports this observation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse analyzes the laboratory results of a pediatric client with hemophilia. The nurse understands which result will most likely be abnormal in this client?

Correct Answer is A

Explanation

A nurse is caring for a school-age client diagnosed with nephrotic syndrome. What changes indicates recovery in a client with this syndrome?

Correct Answer is C

Explanation

A nurse is caring for a 3-year-old child who has had 160 mL of urine output over the past 8 hour period. The child weighs 33 lb. After calculating the client's urinary output, which action is appropriate?

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In caring for a pediatric client with nephrotic syndrome, which intervention should be included in the plan of care?

The nurse is caring for a pediatric client admitted with nephrotic syndrome. What assessment finding would likely be noted in a client with this diagnosis?

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