A child presents to the pediatric clinic, where the parent ...

[Brittanyd9008]

A child presents to the pediatric clinic, where the parent reports that the child has had bloody diarrhea and joint pain. Which diagnostic test does the nurse prepare the child and parent for first?
 
  A.
  Echocardiogram
  B.
  Skin assessment
  C.
  Serum renal studies
  D.
  Urinalysis

Question 2

A child is admitted to the hospital with suspected hemolytic uremic syndrome (HUS). Laboratory results indicate elevated BUN, creatinine, and potassium. Which action by the nurse takes priority?
 
  A.
  Administer antibiotics.
  B.
  Apply cardiac monitoring.
  C.
  Insert a urinary catheter.
  D.
  Obtain a stool sample.

[Viet Thy]

Answer to Question 1

ANS: B
The classic signs of Henoch-Schnlein purpura are rash, gastrointestinal complaints (often bloody diarrhea), hematuria, and arthritis. The nurse needs to assess the child's skin for a rash. The diagnosis is usually made by clinical findings, as there is no specific diagnostic test.

Answer to Question 2

ANS: B
An elevated potassium can cause serious, even fatal, dysrhythmias. The nurse applies cardiac monitoring first for patient safety. Inserting a urinary catheter and sending a stool sample are appropriate but do not take priority. Antibiotics are not given in HUS because they exacerbate the condition.

[Brittanyd9008]

TYSM

[FergA]

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