Exam 1: About This Book

A patient with a history of hypertension has a serum creatinine of 1.9 mg/dL and 1+ proteinuria.When assessing this patient, a nurse should interpret these results as an indication this patient may have:

A patient must undergo pulmonary angiography but has a history of allergic reaction to some medications.Which of the following actions should be taken in response to this finding?

A nurse has performed venipuncture on a patient to obtain a specimen to monitor blood levels of digoxin.While waiting on the results of the laboratory analysis, which of the following signs and symptoms in the patient would indicate digoxin toxicity (greater than 2.5 ng/mL)? Select all that apply.

A patient is admitted to a hospital with a diagnosis of dehydration secondary to acute gastroenteritis.The patient also has polycythemia vera.Which results of a complete blood count (CBC)should the nurse identify as consistent with this clinical presentation?

A patient admitted to a hospital with a possible overdose of aspirin has a serum acetylsalicylic level of 48 mg/dL.Which signs and symptoms should a nurse plan to manage initially?

A nurse is caring for a patient who is preparing to undergo gonioscopy.Which of the following is the most likely indication for this test?

A patient being evaluated for abdominal pain of unknown origin has a blood test for carcinoembryonic antigen (CEA).The result is 5 ng/mL.Which question should the nurse ask in order to assess the significance of this result?

A 40-year-old patient's albumin level is 6.5 g/dL.Which of the following conditions would most likely explain this finding?

Which blood tests should a nurse monitor to determine if a patient's blood level of warfarin (Coumadin)is within the therapeutic range?

A nurse is preparing to perform venipuncture on a patient to obtain a specimen to test for salicylate intoxication.Which of the following are signs and symptoms of salicylate intoxication that the nurse should expect to see in this patient? Select all that apply.

A patient diagnosed with coronary artery disease begins therapy with simvastatin (Zocor).Which laboratory result should the nurse monitor to determine the effectiveness of this treatment?

A patient is suspected of having antiphospholipid antibody syndrome.The nurse is aware that the patient must meet at least one of the clinical and one of the laboratory criteria for this condition to be documented as having it.Which of the following are the clinical criteria? Select all that apply.

A nurse has just administered an IV nucleotide to a patient before a gallium scan.The nurse should instruct the patient to return for the first scanning in how many hours, typically?

A patient's laboratory test results following amniotic fluid analysis indicate elevated bilirubin levels.Which of the following diagnoses should the nurse most suspect given these findings?

A nurse is preparing to perform arterial puncture to assess a patient's alveolar-arterial gradient and arterial/alveolar oxygen ratio.Which of the following conditions in the patient would be contraindications for performing this procedure? Select all that apply.

The nurse is caring for a patient who is to have laboratory tests, including an HbA1c.Which of the following patient statements indicates teaching has been effective?

Which dietary instruction should a nurse plan for a patient who has a triglyceride level of 300 mg/dL?

An adult patient's laboratory test results show a decreased level of antithrombin III.Which of the following conditions are associated with this finding? Select all that apply.

A patient with a history of type 2 diabetes has a serum creatinine level of 1.4 mg/dL and a random urine sample that shows +4 for protein.What medication does the nurse anticipate will be prescribed for this patient?

A patient has a serum calcium level of 7.9 mg/dL.Which factor should a nurse identify as contributing to this laboratory value?