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Author Question: The polycythemia present in infants and children can best be explained as the body's response to: ... (Read 61 times)

hubes95

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The polycythemia present in infants and children can best be explained as the body's response to:
 
  1. Infection.
   2. Oxygen need.
   3. Bleeding.
   4. Hypoglycemia.

Question 2

A child is admitted to the hospital with a diagnosis of rule out urinary tract infection. A clean-catch urine specimen is submitted to the lab. When the results return, the nurse evaluates the findings.
 
  Which finding would the nurse question? 1. 2+ White blood cells
  2. 1+ red blood cells
  3. Urine appearance: cloudy
  4. Specific gravity: 1009



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uniquea123

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Answer to Question 1

2
Rationale:
1. Infection can increase the need for oxygen but does not result in polycythemia.
2. When a child is hypoxic, the kidney produces erythropoietin, signaling the marrow to produce more red blood cells.
3. Bleeding is controlled by platelets, not red blood cells.
4. Hypoglycemia has no effect on red blood cell production.

Answer to Question 2

4
Rationale 1: White blood cells are expected.
Rationale 2: Red blood cells are common in the urine of a child with a urinary tract infection.
Rationale 3: With white blood cells in the urine, this is a common finding.
Rationale 4: This is a very dilute urine. With WBCs, RBCs, and bacteria in the urine, you would expect the urine to contain more solutes.
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