Mr. Gonzales was admitted to the hospital with ascites and jaundice. To rule out cirrhosis of the liver which laboratory test indicates liver cirrhosis? A. Decreased red blood cell count B. Decreased serum acid phosphatase level C. Elevated white blood cell count D. Elevated serum aminotransferase Correct… Read More »
The biopsy of Mr. Gonzales confirms the diagnosis of cirrhosis. Mr. Gonzales is at increased risk for excessive bleeding primarily because of: A. Impaired clotting mechanism B. Varix formation C. Inadequate nutrition D. Trauma of invasive procedure Correct Answer: A. Impaired clotting mechanism Cirrhosis of the liver… Read More »
During chemotherapy for lymphocytic leukemia, Mathew develops abdominal pain, fever, and “horse barn” smelling diarrhea. It would be most important for the nurse to advise the physician to order: A. Enzyme-linked immunosuppressant assay (ELISA) test. B. Electrolyte panel and hemogram. C. Stool for Clostridium difficile test. D. Flat plate X-ray of the abdomen.… Read More »
A client with diabetes has an order for ultrasonography. Preparation for an ultrasound includes: A. Increasing fluid intake B. Limiting ambulation C. Administering an enema D. Withholding food for 8 hours Correct Answer: A. Increasing fluid intake Before ultrasonography, the client should be taught to drink plenty… Read More »
A teen patient is admitted to the hospital by his physician who suspects a diagnosis of acute glomerulonephritis. Which of the following findings is consistent with this diagnosis? Select all that apply. A. Urine specific gravity of 1.040 B. Urine output of 350 ml in 24 hours C. Brown (“tea-colored”) urine D.… Read More »
A male client seeks medical evaluation for fatigue, night sweats, and a 20-lb weight loss in 6 weeks. To confirm that the client has been infected with the human immunodeficiency virus (HIV), the nurse expects the physician to order: A. E-rosette immunofluorescence B. Quantification of T-lymphocytes. C. Enzyme-linked immunosorbent assay (ELISA). … Read More »
A complete blood count is commonly performed before Joe goes into surgery. What does this test seek to identify? A. Potential hepatic dysfunction indicated by decreased blood urea nitrogen (BUN) and creatinine levels. B. Low levels of urine constituents normally excreted in the urine. C. Abnormally low hematocrit (HCT) and hemoglobin (Hb)… Read More »
Which of the following measures best determines that a patient who had a pneumothorax no longer needs a chest tube? A. You see a lot of drainage from the chest tube. B. Arterial blood gas (ABG) levels are normal. C. The chest X-ray continues to show the lung is 35% deflated. D. The… Read More »
A pregnant client with a history of alcohol addiction is scheduled for a nonstress test. The nonstress test: A. Determines the lung maturity of the fetus B. Measures the activity of the fetus C. Shows the effect of contractions on the fetal heart rate D. Measures the neurological well-being of the… Read More »
While monitoring a client for the development of disseminated intravascular coagulation (DIC), the nurse should take note of what assessment parameters? A. Platelet count, prothrombin time, and partial thromboplastin time B. Platelet count, blood glucose levels, and white blood cell (WBC) count C. Thrombin time, calcium levels, and potassium levels D.… Read More »