A nurse is reviewing the laboratory report of an adolescent child with nephrotic syndrome. What does the nurse expect analysis of the child's urine to
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reveal? - Answer>>> Protein (albumin) is present in the urine of children with nephrotic syndrome; it is evidence of kidney damage. Proteinuria, combined with oliguria, results in an increased urine specific gravity.
A preschool-aged child visits the health clinic with his mother. The mother is concerned about the child's interaction with "imaginary friends." What is the best response by the nurse? - Answer>>> Imaginary friends and imaginary play are normal for children at the preschool developmental level. Their thinking is influenced by role fantasy. Children believe that their wishes are real and that dreams come to life. They believe that inanimate objects have feelings and thoughts. It is important for the mother to know that this form of thinking is normal for a child of this age and that there is no need for a psychiatrist, medication, or a developmental assessment.
An adolescent visits the allergy clinic because of seasonal environmental allergies, and blood is drawn for testing. Which laboratory finding indicates to the nurse that an allergic response is in progress? - Answer>>> Increased eosinophil level
Elbow restraints are prescribed for an 18-month-old toddler who just had surgery for a cleft palate. The nurse explains to the parents that the restraints are used to keep the child from doing what? - Answer>>> The suture lines in the mouth must be protected. Because the toddler uses the mouth to explore the environment, elbow restraints are needed to keep the child from placing fingers or objects in the mouth.
A mother complains that her three year old still performs thumb sucking. What should the nurse suggest to the mother? - Answer>>> The nurse should suggest that the mother engage the child in more play activities because playing can help the child release his or her frustration. In a preschooler, thumb sucking may be a sign of stress. Therefore, the mother should try to identify any sources of stress.
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