Medicine Questions

The nurse is evaluating the laboratory test results for a client with diabetes mellitus seen in the health care clinic. The nurse determines that which glycosylated hemoglobin level value shows poor adherence to therapy? 1.6% 2.7% 3.7.5% 4.10%

The nurse is preparing to test a client's blood glucose level with a glucometer. Which steps would facilitate obtaining an accurate result? Select all that apply. 1.Hold the finger in a dependent position during the test. 2.Use gentle pressure to obtain an adequate amount of blood. 3.Obtain the blood specimen by puncturing the central tip of the finger. 4.Obtain the blood specimen by puncturing the lateral side of the finger. 5.Allow the drop of blood to form without squeezing near the puncture site. 6.Clean the site with an antiseptic swab, and then puncture the site immediately.

An adult male client admitted to the hospital with shock has received fluid volume replacement. The nurse should determine that the client has had adequate fluid resuscitation if the client's repeat hematocrit level has decreased to which value in the normal range? 1.56% (0.56) 2.48% (0.48) 3.37% (0.38) 4.34% (0.34)

The nurse is reviewing the laboratory test results for a client and notes that the serum sodium level is 150 mEq/L (150 mmol/L). The nurse understands that this value would be noted in which conditions? 1.Heart failure 2.Addison's disease 3.A severe burn injury 4.Adrenal insufficiency

A client with cirrhosis is being treated for hypernatremia. On reviewing the laboratory values for the client, the nurse determines that treatment is effective if which laboratory result is noted? 1.Urine specific gravity of 1.040 2.Serum sodium value of 150 mEq/L (150 mmol/L) 3.Serum sodium value of 145 mEq/L (145 mmol/L) 4.Serum osmolality of 300 mOsm/kg (300 mmol/kg)

The nurse is caring for a client with a diagnosis of fluid volume overload. The nurse reviews the laboratory test results and would expect to note which finding about the hematocrit level?1.Normal 2.Increased 3.Decreased 4.Insignificant related to the condition

The nurse is reviewing the laboratory results for a client with a diagnosis of leukemia and notes that the absolute neutrophil count is decreased. The nurse interprets this to mean that the client is at risk for which problem?1.Anemia 2.Bleeding 3.Infection 4.Dehydration

The nurse is reviewing the laboratory results of a client admitted to the hospital with a diagnosis of venous thrombosis. The nurse expects the platelet aggregation to be reported as which level in this client? 1.Normal 2.Increased 3.Decreased 4.Insignificant

After completing an assessment and reviewing the laboratory test results of a client admitted to the hospital with acute abdominal pain, the nurse should take action for which noted serum amylase level? 1.54 Somogyi units/dL (27 U/L) 2.100 Somogyi units/dL (50 U/L) 3.120 Somogyi units/dL (60 U/L) 4.200 Somogyi units/dL (100 U/L)

The nurse is reviewing the laboratory results from a lumbar puncture performed in a client with a diagnosis of meningitis. Which laboratory findings are expected to be noted with bacterial meningitis? Select all that apply. 1.Increased glucose level 2.Elevated protein level 3.Increased white blood cells (WBCs) 4.Clear appearance of the cerebrospinal fluid (CSF) 5.Elevated cerebrospinal fluid pressure

A client is admitted with possible hepatic encephalopathy. The nurse determines that which noted serum laboratory abnormality supports this suspicion? 1.Protein level of 72 g/L (7.2 g/dL) 2.Ammonia level of 98 mcg/dL (60 mcmol/L) 3.Magnesium level of 1.7 mEq/L (0.85 mmol/L) 4.Total bilirubin level of 1.2 mg/dL (20.5 mcmol/L)

The nurse is admitting a client who has a cough, dyspnea, and abnormal chest x-ray who is otherwise healthy. The client has an elevated serum angiotensin-converting enzyme (SACE) level. Based on this result, what condition is the client at risk for?1.Sarcoidosis 2.Pulmonary fibrosis 3.Bacterial pneumonia 4.Chronic obstructive pulmonary disease (COPD)

A child is receiving edetate calcium disodium (calcium ethylenediaminetetraacetic acid [EDTA]) by intravenous (IV) infusion for the treatment of lead poisoning. The health care provider (HCP) prescribes a blood level lead concentration measurement. Which action should the nurse take to obtain the blood specimen? 1.Stop the IV infusion for 1 hour before obtaining the blood. 2.Irrigate the IV line with normal saline before drawing the blood. 3.Obtain the blood specimen on the extremity that is not receiving the IV infusion. 4.Maintain the client on NPO (nothing by mouth) status 12 hours before obtaining the blood specimen.

A client has a prescription to have blood drawn to measure peak and trough vancomycin levels to determine the effectiveness of therapy with this medication. The nurse arranges with the laboratory to have the peak level specimen drawn at which time? 1.1 hour before administration of the scheduled dose 2.1.5 hours after completion of the scheduled infusion 3.Immediately after administration of the scheduled dose 4.30 minutes before administration of the scheduled dose

The nurse is reviewing the medication list for a client seen in the health care clinic. The nurse determines that which medications will increase the sodium level? Select all that apply. 1.Laxatives 2.Stool softeners 3.Anabolic steroids 4.Oral contraceptives 5.Nonsteroidal antiinflammatory drugs

The nurse is reviewing the electrolyte panel results for an assigned client who is taking a potassium supplement. The nurse should determine that a therapeutic effect is present if which value is noted? 1.2.8 mEq/L (2.8 mmol/L) 2.3.0 mEq/L (3.0 mmol/L) 3.3.3 mEq/L (3.3 mmol/L) 4.4.0 mEq/L (4.0 mmol/L)

The nurse is reviewing the laboratory test results for a client with a diagnosis of severe dehydration. The nurse should expect the hematocrit level for this client to be noted at which level?1.60% (0.60) 2.47% (0.47) 3.45% (0.45) 4.32% (0.32)

The nurse is reviewing the laboratory results of estimated glomerular filtration rate (eGFR). What are some conditions that can cause a decreased eGFR? Select all that apply. 1.Shock 2.Cystitis 3.Dehydration 4.Fluid overload 5.Heart failure (HF) 6.Cirrhosis with ascites

A client with a diagnosis of question of rheumatoid arthritis (RA) is admitted to the unit. What blood tests would the nurse expect to be prescribed to confirm the diagnosis? Select all that apply. 1.Cardiac enzymes 2.Rheumatic factor 3.Fasting blood glucose 4.Antinuclear antibody (ANA) 5.Erythrocyte sedimentation rate (ESR) 6.Anticyclic citrullinated peptide antibody (anti-CCP)

The nurse is reviewing the laboratory test results for a client with a diagnosis of leukemia. The nurse notes that the granulocyte count is decreased. The nurse interprets that the client is at risk for which condition?1.Anemia 2.Infection 3.Bleeding 4.Dehydration