Exam 1: About This Book

A patient's laboratory test results indicate elevated levels of immunoglobulin (Ig)A and IgG gliadin antibodies.This finding most likely indicates which of the following?

A patient is preparing to undergo a D-xylose tolerance test.This test is used to assist in the differential diagnosis of which of the following? Select all that apply.

A patient is undergoing venipuncture for collection of a blood sample for apolipoprotein testing.Which condition is this type of testing most useful in identifying?

A patient maintained on furosemide (Lasix)is admitted with a serum potassium level of 2.9 mEq/L.Which clinical manifestation should the nurse expect to find on assessment?

A nurse is assisting with an intraocular muscle function test of a patient.During the test, the nurse observes that the patient cannot see with one eye, despite the absence of any organic pathological condition of the eye or optic nerve.The nurse should suspect the patient of having which of the following conditions?

A patient with type 1 diabetes is scheduled for a procedure at 0700 and must remain NPO after midnight.The patient's capillary blood glucose (CBG)at 2100 is 96 mg/dL.Which medication should the nurse administer as ordered?

The nurse is caring for a patient admitted with abdominal pain and nausea.Lab results reveal an amylase of 178 units/L.Which of the following orders would the nurse question?

A laboratory technician notifies a nurse that a patient who is receiving an IV heparin drip per weight-based protocol at a rate of 700 units/hour has an activated partial thromboplastin time (aPTT)of 130 seconds (control is 35 seconds).Which intervention by the nurse is most appropriate initially?

A patient's laboratory test results indicate an elevated blood insulin level.The nurse should understand that this finding is associated with which of the following conditions? Select all that apply.

A patient who is receiving D5/0.45% normal saline at 100 mL/hr has a potassium level of 3.2 mEq/L.A nurse notifies the requesting health-care provider and receives a telephone order to "administer potassium chloride (KCl)40 mEq IV now." Which action by the nurse is most appropriate?

A high school student is undergoing a required annual sports physical screening examination.A nurse notes that the student's serum creatinine level is 1.3 mg/dL.Which additional laboratory data should the nurse consider in order to assess the significance of this result?

A patient is undergoing an arthrogram.Which condition is this type of testing most useful in identifying?

A nurse is assessing a patient before preparing her for ductography.Which of the following factors in the patient would contraindicate this procedure? Select all that apply.

A patient is due to receive a scheduled dose of warfarin 2.5 mg by mouth.A nurse notes that the patient's prothrombin time (PT)is 24.1 seconds and international normalized ratio (INR)is 3.77.Which action by the nurse is most appropriate?

A patient is found to have toxic levels of haloperidol in her blood.This patient is at risk for impairment of which of the following organs associated with this type of toxicity?

At an annual health visit, a 59-year-old female reports weight gain and fatigue.The patient exercises regularly and had a recent, normal stress test.Laboratory results are all normal, except for T4 of 0.4 ng/dL and TSH 21.2 micro international units/mL.For which clinical manifestations should a nurse assess this patient?

Following a minor surgical procedure with minimal blood loss, a patient's hemoglobin and hematocrit are increased slightly from the pre-op baseline.The patient has had nothing to eat or drink for 12 hours prior to the surgery.The nurse's initial response should be to:

A nurse is preparing a patient for abdominal angiography.Which of the following patient conditions, once discovered by the nurse, should cause the nurse to notify the primary care provider to cancel the procedure? Select all that apply.

A patient has an elevated alkaline phosphatase level.This finding would be most consistent with which of the following conditions?

A nurse is drawing a plasma specimen from an infant for an amino acid screen.How many milliliters should the nurse collect?