Medicine Questions

The nurse is reviewing the laboratory test results for a client and notes that the differential white blood cell (WBC) count indicates a shift to the right. The nurse suspects that the client's diagnosis is most likely to be which one? 1.Sepsis 2.Pneumonia 3.Pernicious anemia 4.Coronary artery disease

A client is donating blood for a family member who is having surgery. The nurse tells the client that an indirect Coombs' test will be performed on the blood. The client asks the nurse about the purpose of the test. Which response should the nurse provide to the client? 1."The test detects the presence of hepatitis B virus." 2."The test detects the amount of hemoglobin in the blood." 3."The test detects circulating antibodies against red blood cells (RBCs)." 4."The test detects the presence of human immunodeficiency virus (HIV)."

The nurse is reviewing the results of the electrolyte panel for a client seen in the health care clinic. The nurse determines that the client's potassium level is normal if which value is noted? 1.2.0 mEq/L (2.0 mmol/L) 2.4.0 mEq/L (4.0 mmol/L) 3.5.3 mEq/L (5.3 mmol/L) 4.6.0 mEq/L (6.0 mmol/L)

The nurse preceptor and the orientee note that the reticulocyte count for a client is increased. The preceptor determines that the orientee understands the significance of reticulocytes if the orientee makes which statement with regard to red blood cells (RBCs)? 1."A reticulocyte is a mature RBC." 2."A reticulocyte is an immature RBC." 3."A reticulocyte is decreased whenever there is accelerated production of RBCs." 4."A reticulocyte is increased when the bone marrow has slowed production of RBCs."

The nurse is reviewing the results of the electrolyte panel for a client seen in the clinic. The nurse determines that the client's sodium level is normal if which value is noted? 1.120 mEq/L (120 mmol/L) 2.142 mEq/L (142 mmol/L) 3.148 mEq/L (148 mmol/L) 4.152 mEq/L (152 mmol/L)

The nurse is reviewing an adult male's serum creatinine level of 4.0 mg/dL (353 mcmol/L). What does this level indicate? 1.Low 2.Normal 3.Slightly elevated and needs referral 4.Very high, indicating severe renal failure

The nurse is reviewing the laboratory test results for a client seen in the health care clinic and notes that the red blood cell (RBC) count is decreased. The nurse determines that this finding occurs in which condition? 1.Dehydration 2.Iron deficiency 3.Severe diarrhea 4.Polycythemia vera

A client's laboratory test results reveal an increased transferrin level and a decreased iron-binding capacity. The nurse interprets that these laboratory results are compatible with anemia because of which problem? 1.Infection 2.Malnutrition 3.Iron deficiency 4.Sickle cell disease

A client is at risk for developing disseminated intravascular coagulopathy (DIC). The nurse determines that which fibrinogen level is normal?1.170 mg/dL (1.7 g/L) 2.400 mg/dL (4.0 g/L) 3.480 mg/dL (4.8 g/L) 4.500 mg/dL (5.0 g/L)

A client with diabetes mellitus reports to the clinic for determination of the glycosylated hemoglobin (HbA1c) level. Which value on this laboratory test indicates client compliance with the prescribed diabetic regimen? 1.6% 2.8% 3.10% 4.15%

The nurse is reviewing the laboratory test results for a client seen in the health care clinic. The nurse determines that the serum lipase level is normal if which value is noted on the laboratory report? 1.4 U/L (4 U/L) 2.100 U/L (100 U/L) 3.210 U/L (210 U/L) 4.360 U/L (360 U/L)

The nurse just completed an assessment and reviewed the laboratory test results for an adult female client seen in the clinic. The client complains of being tired. The nurse determines that the hemoglobin level is normal if which value is noted on the laboratory report? 1.8 g/dL (80 mmol/L) 2.14 g/dL (140 mmol/L) 3.22 g/dL (220 mmol/L) 4.32 g/dL (320 mmol/L)

The client is suspected of having a skeletal muscle disorder. Which isoenzyme value reported with the creatine kinase (CK) level should the nurse assess for elevation? 1.MM 2.MB 3.BB 4.MS

An adult female client has a hemoglobin level of 10.8 g/dL (108 mmol/L). The nurse interprets that this result is most likely caused by which condition noted in the client's history? 1.Dehydration 2.Heart failure 3.Iron deficiency anemia 4.Chronic obstructive pulmonary disease

The nurse is collecting a 24-hour composite urine specimen. Besides electrolytes and glucose, what other components are measured? Select all that apply.1.Blood 2.Protein 3.Minerals 4.Creatinine 5.17-ketosteroids 6.Catecholamines

A client with a history of cardiac disease is due for a morning dose of furosemide. Which serum potassium level, if noted in the client's laboratory report, should be reported before administering the dose of furosemide?1.3.2 mEq/L (3.2 mmol/L) 2.3.8 mEq/L (3.8 mmol/L) 3.4.2 mEq/L (4.2 mmol/L) 4.4.8 mEq/L (4.8 mmol/L)

A client with diabetes mellitus has a glycosylated hemoglobin A1c level of 9%. On the basis of this test result, the nurse plans to teach the client about the need for which measure? 1.Avoiding infection 2.Taking in adequate fluids 3.Preventing and recognizing hypoglycemia 4.Preventing and recognizing hyperglycemia

A client brought to the emergency department states that he has accidentally been taking 2 times his prescribed dose of warfarin for the past week. After noting that the client has no evidence of obvious bleeding, the nurse plans to take which action? 1.Prepare to administer an antidote. 2.Draw a sample for type and crossmatch and transfuse the client. 3.Draw a sample for an activated partial thromboplastin time (aPTT) level. 4.Draw a sample for prothrombin time (PT) and international normalized ratio (INR).

Several laboratory tests are prescribed for a client, and the nurse reviews the results of the tests. Which laboratory test results should the nurse report? Select all that apply. 1.Platelets 35,000 mm3 (35 × 109/L) 2.Sodium 150 mEq/L (150 mmol/L) 3.Potassium 5.0 mEq/L (5.0 mmol/L) 4.Segmented neutrophils 40% (0.40) 5.Serum creatinine, 1 mg/dL (88.3 mmol/L) 6.White blood cells, 3000 mm3 (3.0 × 109/L)

A client with a history of gastrointestinal bleeding has a platelet count of 300,000 mm3 (300 × 109/L). The nurse should take which action after seeing the laboratory results?1.Report the abnormally low count. 2.Report the abnormally high count. 3.Place the client on bleeding precautions. 4.Place the normal report in the client's medical record.