Exam 1: About This Book

In preparing a patient to undergo indirect gonioscopy, a nurse explains that the optometrist will place a contact lens on the patient's eye while a narrow beam of light is focused on the eye.The patient asks, "Why do you need to put a contact in my eye?" The nurse should give which of the following as the rationale for this action?

A nurse is preparing to draw a plasma sample for an amino acid screen.Which color of tube top should the nurse use for this test?

The nurse is reviewing lab results for a 37-year-old female who was admitted with muscular weakness and syncope.The patient is undergoing testing for a number of neuromuscular disorders, including myasthenia gravis.Which of the following lab values would the nurse expect?

A 42-year-old patient, with no history of smoking, reports increasing dyspnea with cough and is diagnosed with chronic obstructive pulmonary disease (COPD).Laboratory results show that the patient has a decreased $\alpha$ 1-antitrypsin level ( $\alpha$ 1AT).When planning care for this patient, which instruction should the nurse provide?

A patient's laboratory test results indicate an elevated level of glucagon.The nurse should suspect which of the following conditions? Select all that apply.

A 2-year-old child has a lead level of 25 mcg/dL from a fingerstick specimen obtained at a health department screening.Which instruction should a nurse provide to the child's parent or caregiver?

A patient's laboratory test results indicate elevated levels of D-dimers.Although not specific to these conditions, this finding would provide presumptive evidence of which of the following? Select all that apply.

A patient with a history of sickle cell disease has a total bilirubin level of 0.9 mg/dL with a direct bilirubin level of 0.3 mg/dL.Which additional data should the nurse obtain to plan care for this patient?

Laboratory results indicate that a patient's anion gap is over 16.Which condition should the nurse plan to manage?

A nurse is providing teaching to a patient who has been found to have advanced cirrhosis following alkaline phosphatase (ALP)testing.Which of the following diets would be most appropriate to recommend to this patient?

A patient has a serum albumin of 4.1 g/dL.Based on this lab value, a nurse should instruct this patient to:

The nurse is reviewing laboratory results for a woman with a history of breast cancer.The nurse would evaluate the possibility of bone metastasis using which of the following laboratory values?

A geriatric patient is admitted with hyponatremia and a decreased serum osmolality.Nursing interventions should include restricting intake of:

A college student who is admitted to the hospital with newly diagnosed diabetes mellitus has a C-peptide level of 0.6 ng/mL and serum glucose of 256 mg/dL.Based on these results, which instruction should the nurse provide to this patient?

A nurse is providing teaching on nutrition to a patient who has just been diagnosed with type 2 diabetes following insulin response to glucose testing.Which of the following types of diets should the nurse recommend to this patient, based on recommendations from the American Heart Association (AHA)and other organizations? Select all that apply.

A patient has orders for lactulose 30 mL by mouth every 4 hours and neomycin 250 mg by mouth every 4 hours.Which laboratory result should a nurse monitor to determine the effectiveness of these medications?

A patient is suspected of having hay fever.Which test would be most appropriate for confirming this suspicion?

A young woman with a significant family history of coronary artery disease is planning a pregnancy in the next year.Prenatal screening results include a homocysteine level of 36 micromoles/L.The nurse should teach the patient to:

A patient diagnosed with type 1 diabetes mellitus is maintained on a nighttime dose of basal insulin with short-acting insulin prior to meals three times daily.The patient has had two consecutive glycated hemoglobin A1c (Hgb A1c)results that are less than 5%.Which question should a nurse ask when interpreting these results?

A patient is exhibiting signs of carbamazepine (an anticonvulsant)toxicity.The patient is seizing, hypertensive, and has ileus.Which of the following interventions would be appropriate? Select all that apply.