Which laboratory results (besides hematuria) are most consistent with hemolytic uremic syndrome (HUS)?

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Essential of Pediatric Nursing Test Bank Questions

Question 1 of 5

Which laboratory results (besides hematuria) are most consistent with hemolytic uremic syndrome (HUS)?

Correct Answer: C

Rationale: HUS typically presents with mild proteinuria along with increased BUN and creatinine, reflecting impaired renal function.

Question 2 of 5

Which of the ff would help a client with an allergic skin reaction to reduce itching and maintain skin intact? Choose all that apply

Correct Answer: D

Rationale: Wearing cotton gloves, especially during sleep, would help protect the skin from further irritation caused by scratching during the night. Cotton is a breathable fabric that is gentle on the skin and can help prevent further damage or itching. It also helps in maintaining the skin intact by creating a barrier between the skin and external irritants, thus reducing the chances of exacerbating the allergic reaction.

Question 3 of 5

When the nurse interviews an adolescent, which is especially important?

Correct Answer: B

Rationale: When the nurse interviews an adolescent, allowing an opportunity for the adolescent to express their feelings is especially important. Adolescents are at a stage in life where they are developing their own identity and dealing with a range of emotions. Providing a safe space for them to open up about their thoughts and feelings can help the nurse better understand and address their needs. This can also build a trustful relationship between the nurse and the adolescent, leading to more effective communication and care.

Question 4 of 5

An adolescent tells the school nurse that she is pregnant. Her last menstrual period was 4 months ago. She has not received any medical care. She smokes but denies any other substance use. What is the priority nursing action?

Correct Answer: B

Rationale: The priority nursing action in this situation is to refer the adolescent for prenatal care. Prenatal care is crucial for monitoring the health of both the mother and the baby throughout the pregnancy. This includes assessing for any potential complications, providing appropriate interventions, and ensuring proper support for a healthy pregnancy. It is important for the adolescent to receive medical care as soon as possible to optimize the outcomes for both her and her baby. While notifying her parents, explaining the importance of not smoking, and discussing dietary needs are also important aspects of care, ensuring timely access to prenatal care is the most critical priority in this scenario.

Question 5 of 5

HIV antibody testing procedures using a finger stick or venipuncture to obtain whole blood, plasma, or serum, and tests using oral fluid were approved. All the following regarding this test are true EXCEPT

Correct Answer: B

Rationale: A positive result from rapid HIV tests still requires confirmation with more specific tests like Western blot or immunofluorescence assay.

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