An adolescent on the cross-country track team had a urinalysis ...

[RODY.ELKHALIL]

An adolescent on the cross-country track team had a urinalysis during a school physical that showed proteinuria. Which action by the nurse is the most appropriate?
 
  A.
  Advise the teen not to run for 48 hours and repeat the test.
  B.
  Collaborate with the provider to order kidney imaging tests.
  C.
  Explain the finding is insignificant and does not need follow-up.
  D.
  Take the teen's blood pressure on three separate occasions.

Question 2

A 6-year-old child is scheduled for a voiding cystourethrogram. Which action by the nurse is the most appropriate?
 
  A.
  Ask the parents about shellfish or iodine allergies.
  B.
  Give the child a preprocedure cleansing enema.
  C.
  Instruct the parents to give the child clear liquids afterward.
  D.
  Provide developmentally appropriate teaching.

[paavo]

Answer to Question 1

ANS: A
Proteinuria can be a benign finding, especially if it is noted after heavy exercise or fever. The teen should avoid exercise for 48 hours and repeat the test. At this point, further testing is not warranted.

Answer to Question 2

ANS: A
Because this test uses iodinized contrast material, it is important to assess for allergies to this substance or to iodine, which is often found in shellfish. Teaching would be provided but does not take priority over this important safety measure. There is no need for an enema. After the procedure, the child resumes a normal diet.