Medicine Questions

A client is receiving oral anticoagulant therapy with warfarin. The result of a newly drawn prothrombin time (PT) is 40 seconds. The nurse should anticipate which prescription to be prescribed for this client? 1.Hold the next dose of warfarin. 2.Increase the next dose of warfarin. 3.Administer the next dose of warfarin. 4.Stop the warfarin, and administer heparin.

The nurse is reviewing the laboratory test results for a client who takes 325 mg of acetylsalicylic acid, or aspirin, daily and has been having frequent nosebleed episodes. What blood level should the nurse review? 1.Hemoglobin (Hgb) 2.Prothrombin time (PT) 3.Red blood cell (RBC) level 4.Partial thromboplastin time (PTT)

The nurse is caring for a client with Paget's disease who has a serum calcium level of 12.3 mg/dL (3.1 mmol/L). The nurse should check to see that which medication is available in the stock medication supply for possible use to reverse this elevation? 1.Calcitonin 2.Vitamin D 3.Calcium chloride 4.Calcium gluconate

The nurse has been giving a client furosemide intravenously for an exacerbation of heart failure. The nurse monitors what potential abnormal blood levels that frequently occur when this medication is administered? Select all that apply.1.Serum sodium 2.Serum protein 3.Serum albumin 4.Serum potassium 5.Serum creatinine

A client is undergoing a 2-hour glucose tolerance test. The nurse assesses for which client factors that can interfere with the test period results? Select all that apply. 1.Experiencing stress 2.Fasting before the test period 3.Voiding during the test period 4.Eating a small snack or candy during the test period 5.Having an episode of diarrhea before the test period 6.Being unable to eat the entire test meal or vomiting some or all of the meal

A client with a diagnosis of hyperphosphatemia has been treated with dietary management and phosphate binding gels. The client reports to the clinic, and the nurse is reviewing the laboratory results. Which reported serum phosphate level would indicate improvement in the client's condition? 1.4.0 mg/dL (1.3 mmol/L) 2.5.2 mg/dL (1.7 mmol/L) 3.6.0 mg/dL (1.9 mmol/L) 4.6.5 mg/dL (2.1 mmol/L)

The nurse is reviewing the white blood cell (WBC) count and differential on a client and notes that the results indicate a left shift. What are the possible indications for these laboratory results? Select all that apply. 1.The total number of WBCs 2.An increased number of bands 3.The presence of an acute infectious process 4.An increased number of mature neutrophils 5.An increased number of immature neutrophils

The nurse checks the laboratory results of a serum medication level assay for a newly admitted client taking digoxin 0.125 mg orally daily. Which value would indicate a therapeutic level? 1.0.1 ng/mL (0.13 nmol/L) 2.0.6 ng/mL (0.76 nmol/L) 3.1.8 ng/mL (2.30 nmol/L) 4.2.4 ng/mL (3.07 nmol/L)

The nurse is monitoring for agranulocytosis in a client who is taking clozapine. The nurse should check which serum laboratory result to determine the presence of agranulocytosis? 1.Basophil count lower than normal 2.Creatinine level greater than normal 3.White blood cell (WBC) count lower than normal 4.Blood urea nitrogen (BUN) level greater than normal

The nurse is reviewing the laboratory results of a serum medication level assay for a client seen in the health care clinic who has been taking phenytoin for the control of seizures. The nurse determines that a subtherapeutic level of phenytoin is present and that additional medication is required if which level is found? 1.3 mcg/mL (12 mcmol/L) 2.16 mcg/mL (63 mcmol/L) 3.18 mcg/mL (71 mcmol/L) 4.24 mcg/mL (95 mcmol/L)

The nurse is reviewing the laboratory test results for a client with a diagnosis of thrombocytopenia purpura. The nurse should expect the results for platelet aggregation to be at which level?1.Normal 2.Increased 3.Decreased 4.Insignificant

The nurse is caring for a client with suspected hepatitis. What diagnostic test results will assist in confirming this client's diagnosis? Select all that apply. 1.Leukopenia 2.Elevated hemoglobin 3.Elevated liver enzymes 4.Elevated serum bilirubin level 5.Elevated blood urea nitrogen (BUN) 6.Elevated serum erythrocyte sedimentation rate (ESR)

The nurse is reviewing the laboratory blood test results for a client and notes that the hemoglobin S (Hgb S) value is elevated. The nurse determines that this laboratory finding is associated with which condition? 1.Aplastic anemia 2.Sickle cell anemia 3.Infectious mononucleosis 4.Acute lymphocytic leukemia

The clinic nurse is caring for an infant who has been diagnosed with primary hypothyroidism. The nurse is reviewing the results of the laboratory tests for thyroxine (T4) and thyroid-stimulating hormone (TSH). Which laboratory finding indicates a diagnosis of primary hypothyroidism? 1.A normal T4 level 2.An elevated T4 level 3.An elevated TSH level 4.A decreased TSH level

The nurse is caring for a client who is receiving immunosuppressant therapy, including corticosteroids, after renal transplantation. The nurse should plan to carefully monitor results of which laboratory test for this client? 1.Blood glucose level 2.Serum calcium level 3.Serum magnesium level 4.Serum albumin concentration

A client is at risk for pulmonary embolism and is on anticoagulant therapy with warfarin sodium. The client's prothrombin time is 20 seconds, with a control of 11 seconds. How should the nurse interpret these results? 1.The client needs to have the test repeated. 2.Client results are within the therapeutic range. 3.Client results are higher than the therapeutic range. 4.Client results are lower than the needed therapeutic level.

A client with trigeminal neuralgia who is receiving carbamazepine 400 mg orally daily has a white blood cell (WBC) count of 2800 mm3 (28 × 109/L), blood urea nitrogen (BUN) of 17 mg/dL (6.12 mmol/L), sodium of 141 mEq/L (141 mmol/L), and uric acid of 5 mg/dL (0.3 mmol/L). On the basis of these laboratory values, the nurse should make which interpretation? 1.The WBC count is low, indicating a blood dyscrasia. 2.The BUN level is elevated, indicating nephrotoxicity. 3.The sodium level is low, indicating an electrolyte imbalance. 4.The uric acid level is elevated, indicating the risk for renal calculi.

The nurse caring for a client with a diagnosis of gastrointestinal (GI) bleeding reviews the client's laboratory results and notes a hematocrit level of 30% (0.30). Which action should the nurse take? 1.Report the abnormally low level. 2.Report the abnormally high level. 3.Inform the client that the laboratory result is normal. 4.Place the normal report in the client's medical record.

The evening shift nurse is reviewing the laboratory results of a client's urine culture showing 100,000 bacterial units/mL of urine. What should be the nurse's action?1.Notify the HCP during rounds in the morning. 2.No action is needed because this is normal value. 3.Page the health care provider (HCP) with the results. 4.Collect another urine specimen to confirm the results.

The nurse is reviewing the laboratory test results for a client and notes that the serum potassium level is 5.5 mEq/L (5.5 mmol/L). The nurse understands that this value would be noted in which condition? 1.Diarrhea 2.Addison's disease 3.Diabetes insipidus 4.Dumping syndrome