Exam 4: Monographs

A neighbor confesses to the nurse that she and her husband have not been successful at conceiving a child and her husband is reluctant to pursue any testing.The woman asks, "Is there anything that might help?" Which of the following statements by the nurse is best?

The nurse is caring for a patient who complains of swelling and pain in his right foot.He states that he has a family history of gout.Which of the following labs would be most helpful in further determining a diagnosis?

The wife of a patient who is undergoing a chest wall biopsy for suspected metastatic lung cancer says, "It is so surprising that all the blood tests he had done at his annual physical four months ago didn't show anything." Which of the following responses by the nurse is best?

The nurse is caring for a patient who recently underwent a paracentesis.The patient states, "I just know they'll find cancer and I'll die soon." Which of the following statements by the nurse is best?

A diabetic patient is suspected of having poor long-term glucose control.Which test would be most appropriate for confirming this suspicion?

A couple reports to the genitourinary specialist's office to discuss the results of semen analysis.The couple enters the exam room silently holding hands.Which of the following actions by the nurse is best?

The nurse is providing care to a young woman with a history of ruptured ectopic pregnancy who has a positive home-pregnancy test and reports the first date of her most recent menstrual cycle was 7 weeks ago.The health-care provider has ordered serial HCG levels weekly * 3.Which of the following explanations by the nurse is best?

A premenopausal woman reports to the primary care provider's office with newly discovered tenderness and thickening in her left breast.The patient asks the nurse, "Do you think my provider will want blood drawn? I hate needles." Which of the following responses by the nurse is best?

The nurse is providing care for a 68-year-old male whose prostate-specific antigen is 23 ng/mL.Which of the following statements by the nurse is best?

A nurse is conducting early hearing loss detection and intervention (EHDI)on a newborn, as part of the screening required by the state in which the nurse practices.The nurse is aware that the goal of EHDI is to assure that permanent hearing loss is identified before what age?

A newborn demonstrates abnormal exocrine secretions of large amounts of electrolytes within the lungs, pancreas, small intestine, bile ducts, and skin.This finding is consistent with which of the following conditions?

The nurse is caring for a patient who has received a bone marrow transplant, whose cyclosporine level is 320 ng/mL, and who has evidence of renal compromise.Which of the following statements by the nurse is best?

Based on the diagnostic results in the following exhibit, which medication should a nurse anticipate will be prescribed? Laboratory Report Excerpt Cholesterol: 240 mg/dL Triglycerides: 103 mg/dL HDL: 67 mg/dL LDL: 151 mg/dL

A patient's laboratory test results indicate an increased level of fat in the stool (fecal fat).Which of the following conditions are most associated with this finding? Select all that apply.

A nurse is performing a Schirmer tear test on a patient.Which of the following interventions should the nurse make? Select all that apply.

The nurse is providing care for a woman with extensive stage IV decubitus ulcers.In conferring with the dietician regarding supplemental nutrition, the nurse would be most concerned by which of the following?

A patient is suspected of having gastric ulcers.Which test would be most appropriate for confirming this diagnosis?

A nurse is administering the radionuclide iodine-123 (I-123)to a patient who is undergoing radioactive iodine uptake testing.How is the nurse to administer this contrast medium?

The nurse is caring for a patient in the intensive care unit who is in a hepatic coma.The lactic acid level is 32 mg/dL.Which of the following symptoms would the nurse expect to see?

As a nurse is assisting with fundus photography of a patient's eyes, the patient complains of suddenly seeing floaters and a veil that moves across the field of vision.The nurse should recognize these symptoms as critical findings, indicative of which of the following conditions?