Medicine Questions

The clinic nurse has obtained a throat culture specimen from a client in whom a throat infection is suspected. The nurse calls the laboratory to have the specimen picked up and is told that the laboratory is short staffed and the laboratory assistant will pick up the specimen in 2 hours. Which is the appropriate nursing action? 1.Refrigerate the specimen. 2.Tell the client to return in 1 hour for a repeat throat culture. 3.Contact the health care provider (HCP) who prescribed the specimen. 4.Tell the laboratory that someone needs to pick up the specimen immediately.

A client with acute glomerulonephritis has had a urinalysis sample sent to the laboratory. The report reveals the presence of hematuria and proteinuria. The nurse interprets these results as which condition? 1.Consistent with glomerulonephritis 2.Inconsistent with glomerulonephritis 3.Unclear; no conclusion can be drawn 4.Indicative of impending acute kidney injury

The nurse provides instructions to the parent of a newborn to bring the infant to the well-baby clinic for a phenylketonuria rescreening blood test. The nurse determines that the parent understands the need for the test when which statement is made? 1."It can detect heart disease in my baby." 2."It will discover the presence of cancer in my baby." 3."It will check for the presence of a genetic condition in my infant." 4."It will allow me to institute measures to prevent complications if the level is elevated."

The nurse is reading a computer printout of the results of a cerebrospinal fluid (CSF) analysis performed on an adult client who has undergone lumbar puncture. The nurse determines that which is an abnormal finding? 1.Red blood cells (negative) 2.Protein 100 mg/dL (1 g/L) 3.Glucose 52 mg/dL (2.9 mmol/L) 4.White blood cells 3 cells/mcL (3 × 106/L)

A client who has a serum potassium (K+) level of 2.9 mEq/L (2.9 mmol/L) tells the nurse that he does not feel like eating lunch. The nurse checks his serum digoxin level from that morning and notes that it is 1.0 ng/mL (1.2 nmol/L). What should the nurse determine about this digoxin level? 1.Low 2.Extremely toxic 3.Within the therapeutic range 4.Just above the high end of the therapeutic range

The nurse notes that a client's lithium level is 3.9 mEq/L (3.9 mmol/L). What is the nurse's priority action in response to this finding? 1.Determining visual acuity 2.Assisting with ambulation 3.Monitoring intake and output 4.Instituting seizure precautions

The nurse is reviewing the laboratory test results for a client seen in the clinic. The nurse reports to the client that the total cholesterol level is within the recommended guidelines if which value is noted on the laboratory report? 1.146 mg/dL (4 mmol/L) 2.224 mg/dL (6 mmol/L) 3.256 mg/dL (7 mmol/L) 4.301 mg/dL (8 mmol/L)

An adult client with a history of seizure disorder is having a routine serum phenytoin level drawn. Which serum phenytoin result indicates that the client is having a therapeutic effect of the medication? 1.6 mcg/mL (23.8 mcmol/L) 2.16 mcg/mL (63.4 mcmol/L) 3.28 mcg/mL (110.9 mcmol/L) 4.36 mcg/mL (142.6 mcmol/L)

The nurse is monitoring the client with a serum calcium level of 6.2 mg/dL (1.55 mmol/L). Which findings should the nurse assess for in the client? Select all that apply. 1.Irritability 2.Muscle cramps 3.Tingling sensations 4.Hyperactive reflexes 5.Memory impairment 6.Severe muscle weakness

The nurse is reviewing the laboratory test results for a client seen in the clinic. The nurse determines that the urine specific gravity is normal if which value is noted on the laboratory results? 1.1.001 2.1.003 3.1.019 4.1.036

he nurse is reviewing the laboratory test results for an adult male client seen in the health care clinic. The nurse determines that the hematocrit level is normal if which value is noted on the laboratory report?1.58% (0.58) 2.50% (0.50) 3.40% (0.40) 4.32% (0.32)

The nurse receives a telephone laboratory report indicating that a diabetic client has a glycosylated hemoglobin (HgbA1c) level of 7.6%. In which priority area should the nurse plan to provide diabetic teaching? 1.Avoidance of infection 2.Rotation of insulin injection sites 3.Measures to prevent hyperglycemia 4.Avoidance of hypoglycemic episodes

The nurse is reviewing the laboratory test results and notes that the prothrombin time (PT) is 7.0 seconds. The nurse understands that this PT value would be noted in which condition? 1.Hepatic disease 2.Cirrhosis of the liver 3.Factor VII deficiency 4.Deep vein thrombosis

Which outcome should the nurse expect to observe in the client who is recovering from viral hepatitis without complications? 1.Presence of asterixis 2.Increasing prothrombin time values 3.Decrease in aspartate aminotransferase (AST) 4.Decreased absorption of vitamin K in the intestine

The nurse instructs a client with diabetes mellitus who takes insulin about blood glucose monitoring and monitoring for signs of hypoglycemia. The nurse should inform the client that a blood glucose level of which value indicates hypoglycemia? 1.60 mg/dL (3.3 mmol/L) 2.90 mg/dL (5.0 mmol/L) 3.110 mg/dL (6.1 mmol/L) 4.120 mg/dL (6.7 mmol/L)

The nurse is reviewing the laboratory test results for a client and notes that the albumin level is 3.0 g/dL (30 g/L). The nurse understands that this laboratory value would be noted in which condition? 1.Diarrhea 2.Dehydration 3.Multiple myeloma 4.Cirrhosis of the liver

The nurse in the respiratory care unit completes a lung assessment and reviews the laboratory results of a serum medication level assay for a client receiving theophylline. The nurse determines that a therapeutic medication level has been achieved by indication of which value? 1.8 mcg/mL (44 mcmol/L) 2.9 mcg/mL (50 mcmol/L) 3.18 mcg/mL (100 mcmol/L) 4.26 mcg/mL (144 mcmol/L)

The nurse is reviewing the client's results of preadmission laboratory studies for a complete blood count, electrolytes, coagulation studies, and creatinine before a surgical procedure. Which laboratory result should the nurse report immediately to the surgeon? 1.Platelet count 210,000 mm3 (210 x 109/L) 2.Serum creatinine level 0.8 mg/dL (71 mcmol/L) 3.Hemoglobin (Hgb) level 8.9 g/dL (89 mmol/L) 4.Serum sodium level 141 mEq/L (141 mmol/L)

The long-term care nurse about to give a daily dose of digoxin is told that a serum digoxin level drawn earlier in the day measured 1.4 ng/mL (1.7 nmol/L). Which action should the nurse take first? 1.Administer the daily dose of the medication. 2.Report the finding to the health care provider (HCP). 3.Record the normal value on the intershift report sheet. 4.Gather data from the client related to signs of toxicity.

The ambulatory care nurse is reviewing an adult client's laboratory test results and notes that the hematocrit level is 60% (0.60). The nurse recognizes that this level is most likely to be found in clients with which diagnosis? 1.Leukemia 2.Hemolytic anemia 3.Pernicious anemia 4.Iron deficiency anemia