Inflammation

A nurse is reviewing the laboratory report of a school-age child who has acute posstreptococcal glomerlunoephritis. Which of the following laboratory values should the nurse expect? A) Increased specific gravity B) Decreased creatnine C) Decreased BUN D) Positive urine culture

A) Increased specific gravity This test measures the concentration of particles in the urine. Therefore, this results indicates the child's urine is concentrated.

A nurse is reviewing the laboratory findings of a client who has acute pancreatitis. Which of the following findings should the nurse expect? A) Calcium 10.2 B) Amalysae 300 units C) WBC count of 7,000 D) Blood glucose of 100mg

B) Amalysae 300 units The nurse should identify that a client who has acute pancreatitis can have an elevated amylase level. The expected reference range for amlyase is 30 to 220 units. An amalyse values rises within 12 - 24hr of the onset of pancreatitis.

A nurse is teaching a client about acute glomerulonephritis. Which of the following information should the nurse include? A) Expect urine to remain clean or straw-colored B) Restrict fluid intake based on previous day's urine output C) Include foods high in sodium in the diet D) Measure weight twice per week

B) Restrict fluid intake based on previous day's urine output The nurse should restrict fluid intake to 500 to 600mL above the 24hr urine output measurement to prevent fluid volume overload, increased blood pressure and edema.

A nurse is teaching about pancreatic enzyme replacement therapy with a client who has chronic pancreatitis and is starting to take pancrelipase capsules. Which of the following information should the nurse include when teaching about pancrelipase? A) Administer the enzyme capsules after each meal B) Vary the amount of medication taken based on the amount of food consumed. C) Sprinkle the medication capsule contents on a protein-rich food D) Take the medication capsules with a calcium carbonate antacids when needed.

B) Vary the amount of medication taken based on the amount of food consumed. The nurse should instruct the client to take half the medication dosage prescribed for meals whenever having a snack. The total daily dose of medication should equal the amount needed for 3 meals and 2-3 snacks per day.

A nurse is teaching about pancreatic enzyme replacement therapy with a client who has chronic pancreatitis and is starting to take pancrelipase capsules. Which of the following information should the nurse include when teaching about pancrelipase? A) Administer the enzyme capsules after each meal B) Vary the amount of medication taken based on the amount of food consumed. C) Sprinkle the medication capsule contents on a protein-rich food D) Take the medication capsules with a calcium carbonate antacids when needed.

B) Vary the amount of medication taken based on the amount of food consumed. The nurse should instruct the client to take half the medication dosage prescribed for meals whenever having a snack. The total daily dose of medication should equal the amount needed for 3 meals and 2-3 snacks per day.

A nurse is updating the meal plan for a client who has resolving diverticulitis and is being advanced to a high-fiber diet. The nurse should recognize that which of the following foods is the best source of fiber? A) 1 cup green graps B) 1 cup lettuce C) One medium banana D) One medium cucumber

C) One medium banana The nurse should determine that one medium banana is the best source of fiber because it contains 3.1g of fiber.

A nurse is caring for a client who has gastroenteritis and reports diarrhea and vomiting for 3 days. Which of the following findings should the nurse recognize as a manifestation of the inflammatory bowel disease? A) Hiccups B) Rebound tenderness of abdomen C) Orthostatic hypotension D) Should pain

C) Orthostatic hypotension The nurse should identify that a client who has gastroenteritis can exhibit orthostatic hypotension caused by dehydration from fluid loss and electrolyte imbalance.

A nurse is planning care to decrease the risk of bowel perforation for a client who is in the acute phase of diverticulitis. Which of the following interventions should the nurse include in the plan? A) Avoid use of opioid analgesics B) Administer an enema to rest the bowel C) Provide the client with a high-fiber diet D) Instruct the client to avoid coughing

D) Instruct the client to avoid coughing The nurse should instruct the client to avoid coughing because this increases intra-abdominal pressure and places the client at risk for bowel perforation.

A nurse is assessing the fluid balance of a school-age child who has acute poststreptococcal glomerulonephritis and is experiencing inflammation. What is the nurse's priority? A) Monitor the child's BUN and creatinine levels regularly B) Keep a precise daily account of the child intake and output C) Measure the child's BP manually every 4 hours D) Maintain a strict record of the child's daily weight

D) Maintain a strict record of the child's daily weight Maintaining a strict record of the child daily weight is the priority to determine fluid balance and inflammation level for a child who has acute glomerulonephritis

A nurse is assessing a client who has acute pancreatitis. Which of the following findings should the nurse expect? A) Hypertension B) Hyperactive bowel sounds C) Peripheral edema D) Periumbilical discoloration

D) Periumbilical discoloration The nurse should expect a client who has pancreatitis to have a greyish-blue bruised appearance around the navel and flanks