Exam 1: About This Book

A patient with a diagnosis of chronic myelogenous leukemia (CML)is admitted to an acute care unit with a temperature of 100.4 $\degree$ F (38 $\degree$ C)and weight loss over the past 2 to 3 months.A nurse notes that the patient's white blood cell (WBC)count is 230,000/mm³, and the physical examination shows splenomegaly.The priority nursing intervention should be:

A nurse is preparing to perform venipuncture to collect a specimen for ammonia testing on a patient with suspected cirrhosis.Which of the following signs and symptoms of the suspected condition should the nurse expect to see in the patient? Select all that apply.

A patient with diabetes requires assessment of long-term glucose control.Which test would be most appropriate for this patient?

A nurse is providing instructions to a patient who is about to undergo extraocular muscle function testing.Which of the following should the nurse tell the patient? Select all that apply.

A patient is diagnosed with gout and is started on allopurinol.Which laboratory result should the nurse monitor to determine the effectiveness of this treatment?

A patient who denies any history of drug use has a pre-employment urine drug screen that is positive for opiates.Which information provided by the patient should a nurse relate to this laboratory finding?

A pediatric nurse is caring for a 9-month-old who is febrile, spitting up after feedings, and has had diarrhea for 2 days.The laboratory results show increased hemoglobin, hematocrit, and blood urea nitrogen.Urine-specific gravity is increased as well.Which clinical observation by the nurse correlates with this presentation?

When reviewing a patient's laboratory results, a nurse notes that the patient's erythrocyte sedimentation rate (ESR)is more than 100 mm/hr.Which condition is this patient most likely to be experiencing?

A patient admitted with epigastric pain describes the pain as "steady" with onset about 3 days prior.The patient's serum lipase level is 230 units/L.Which intervention should a nurse include in the patient's initial plan of care?

A patient has an allergen-specific immunoglobulin E (IgE)level of 65 kU/L.This is indicative of which of the following radioimmunoassay (RAST)scores?

The nurse is providing care for a patient with an elevated lactic acid of 49 mg/dL.The patient is nonresponsive with Kussmaul respirations and tachycardia.The patient's teenage children are at the bedside.Which of the following statements by the nurse is best?

An adolescent patient is admitted to a hospital with hypotension and tachycardia.The patient's laboratory results include a serum potassium level of 1.9 mEq/L.Which question should a nurse ask to identify possible causes for this clinical presentation?

A nurse reviews a patient's laboratory test results from a Gram stain.The nurse understands that this test can provide which information? Select all that apply.

A patient's laboratory results indicate elevated levels of insulin antibodies, though the person does not currently have diabetes.This finding is most associated with development of which of the following conditions?

A patient is scheduled to have blood drawn for antidiuretic hormone (ADH)levels.Based on this information, a nurse should assess the patient for a related clinical manifestation, such as:

A patient is suspected of having Goodpasture's syndrome.Which of the following antibody tests should the nurse expect to conduct on this patient to confirm this suspicion?

A full-term newborn exhibits jaundice that is noted in the first 24 hours after birth.Laboratory tests reveal a serum bilirubin level of 7.2 mg/dL.The newborn's parents are both first-generation immigrants from Greece.Based on this information, a nurse should review the patient's neonatal screening laboratory results to determine the presence of an inborn error in carbohydrate or amino acid metabolism:

A serum alanine aminotransferase (ALT)level is obtained on a unit of donated blood prior to releasing it for transfusion.A nurse understands that the purpose of this test is to:

A nurse vigorously swabs the tonsillar pillars and posterior throat of a patient to obtain a specimen for a group A streptococcal screen and then repeats this process with a second swab.What is the correct rationale for obtaining two specimens?

A nurse has just collected a specimen for an adrenocorticotropic hormone (ACTH)test.Which of the following actions should the nurse take next?