Exam 1: About This Book

A patient is undergoing venipuncture for collection of a specimen for B-type natriuretic peptide (BNP)testing.Which condition is this test used to diagnose and monitor?

A patient's laboratory test results indicate an increase in $\gamma$ -glutamyltranspeptidase (GGT), secondary to hepatitis.The nurse is now providing posttest teaching on diet.Which of the following nutrition recommendations should the nurse make to this patient? Select all that apply.

A patient has a hemoglobin level of 11.3 g/dL and a red blood cell count of 3.76 *10⁶ cells/mm³.Based on this information, a nurse should calculate that the hematocrit is approximately:

A geriatric patient residing in a long-term care facility has documented weight loss.A diagnostic work-up has identified no pathological reason, so a high-protein, high-carbohydrate diet is implemented.Which laboratory result should a nurse monitor to evaluate if the dietary measures are improving the patient's nutritional status?

A patient who is preparing to undergo a blood transfusion is suspected of having an immunoglobulin deficiency that could result in anaphylaxis when the blood is transfused.Which test would be most appropriate for confirming this suspicion?

A nurse is preparing to perform a lumbar puncture to collect a specimen for diagnosis of Alzheimer's disease.Which position should the nurse ask the patient to assume for this test?

A nurse is assisting with a gastrointestinal (GI)blood loss scan of a 1-month-old to detect areas of active GI bleeding.Given this patient's age, the nurse should most suspect which of the following as the cause of the bleeding?

A patient is suspected of having a cardiac septal defect.Which type of angiography should be performed to detect this condition?

A nurse is assisting with a pulmonary angiography procedure for a patient with tuberculosis.Which of the following constitutes a critical finding that should be communicated to the patient's primary health-care provider immediately?

A nurse is collecting an arterial blood sample for a lactate level.Which action should the nurse plan to ensure that the specimen provides an accurate result?

A patient admitted with a hip fracture and scheduled for surgery has a prothrombin time of 20.2 seconds and an international normalized ratio (INR)of 2.65 resulting from warfarin administration.Based on these laboratory values, which order should the nurse anticipate?

A patient's laboratory test results show an increased level of angiotensin-converting enzyme (ACE).This finding is most indicative of which of the following?

A patient is undergoing venipuncture for collection of a blood sample for aspartate aminotransferase (AST)testing.Which condition is this type of testing most useful in identifying?

A patient receiving IV vancomycin has orders for "vancomycin trough levels." The patient's next dose of vancomycin is due at 1000.Based on this information, the nurse should plan for the specimen to be drawn at:

A geriatric patient is hospitalized with anorexia and weakness secondary to persistent diarrhea.The stool culture is positive for Clostridium difficile (C.difficile).Which question should a nurse ask to identify information that may help determine the etiology of this patient's diarrhea?

A patient is suspected to have overdosed on lithium.Which of the following signs and symptoms would he most likely exhibit? Select all that apply.

The nurse is caring for a patient who is HIV positive admitted with a fever and cough.The physician has ordered sputum culture and cytology.Which of the following statements best explains the reason for these tests to the patient?

A nurse is providing pretest instructions to a patient who is scheduled to undergo blood collection to assess aldosterone level in about a month.Which of the following should the patient avoid in the time leading up to the specimen collection? Select all that apply.

A nurse notes that a patient has tested positive for Helicobacter pylori (H.pylori)antibody, a finding that may reflect the presence of peptic ulcer disease.In response to this finding, the nurse should assess the patient for related manifestations, such as:

A patient diagnosed with chronic obstructive pulmonary disease (COPD)has a carboxyhemoglobin level of 5%.When planning care for this patient, which question should a nurse ask to determine the significance of this result?