A nurse is preparing to admit a child with possible obstructive uropathy. What labs should the nurse expect to draw on this child?

1. Platelet count
2. Blood urea nitrogen (BUN) and creatinine
3. Partial thromboplastin time (PTT)
4. Blood culture


2
Rationale 1: Platelet count is drawn when a bleeding disorder is suspected
Rationale 2: The blood urea nitrogen (BUN) and creatinine are serum lab tests for kidney function. Obstructive uropathy is a structural or functional abnormality of the urinary system that interferes with urine flow and results in urine backflow into the kidneys; therefore, the BUN and creatinine will be elevated.
Rationale 3: Partial thromboplastin time (PTT) is drawn when a bleeding disorder is suspected.
Rationale 4: A blood culture is done when an infectious process is suspected.
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Nursing

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