A child is diagnosed with hemolytic-uremic syndrome (HUS). Review of the child's laboratory test results would reveal which finding?
A) Decreased blood urea nitrogen (BUN) and creatinine
B) Decreased platelets and leukocytosis
C) Hypernatremia and hypokalemia
D) Respiratory acidosis and proteinuria
Ans: B
The child with HUS typically exhibits severe thrombocytopenia (decreased platelets) and leukocytosis. BUN and creatinine are elevated. Hyponatremia, hyperkalemia, metabolic acidosis, and proteinuria also may be noted.
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A number of patients in an acute cardiac care unit of a hospital have diagnoses of impaired cardiac conduction. Which of the following patients is most deserving of immediate medical attention?
A) A 46-year-old man whose cardiac telemetry shows him to be in ventricular tachycardia B) A 69-year-old woman who has entered ventricular fibrillation C) A 60-year-old man with premature ventricular contractions (PVC) and a history of atrial fibrillation D) A 60-year-old woman who has just been diagnosed with a first-degree AV block
Amoxicillin 250 mg is ordered for a child
The pharmacy supplies the drug in a suspension form. The label reads 500 mg/5 mL. The nurse would administer _____ mL.
The nurse is caring for a patient who is intubated and being mechanically ventilated. Which of the physician's orders should the nurse question for this patient?
1. endotracheal suctioning every hour 2. endotracheal suctioning as needed 3. NPO status while patient is ventilated 4. intake and output every 4 hours
A patient presents to the emergency department with complaints of "feeling like something is ripping in my chest" and sudden onset of mid-back pain. The patient has a history of hypertension
What is the top priority in the care of this patient? 1. Contact the patient's family. 2. Facilitate an immediate CT scan. 3. Obtain a surgical history. 4. Provide pain medication.