The physician orders laboratory tests to confirm hyperthyroidism in a female client with classic signs and symptoms of this disorder. Which test result would confirm the diagnosis? A. No increase in the thyroid-stimulating hormone (TSH) level after 30 minutes during the TSH stimulation test. B. A decreased TSH level. C. An increase… Read More »
A patient comes to the emergency department with abdominal pain. Work-up reveals the presence of a rapidly enlarging abdominal aortic aneurysm. Which of the following actions should the nurse expect? A. The patient will be admitted to the medicine unit for observation and medication. B. The patient will be admitted to the day… Read More »
A patient is admitted to the same day surgery unit for liver biopsy. Which of the following laboratory tests assesses coagulation? Select all that apply. A. Partial thromboplastin time B. Prothrombin time C. Platelet count D. Hemoglobin E. Complete Blood Count F. White Blood Cell Count Correct Answer: A, B,… Read More »
A female client is scheduled to receive a heart valve replacement with a porcine valve. Which of the following types of transplant is this? A. Allogeneic B. Autologous C. Syngeneic D. Xenogeneic Correct Answer: D. Xenogeneic A xenogeneic transplant is between a human and another species. Option… Read More »
A patient with leukemia is receiving chemotherapy that is known to depress bone marrow. A CBC (complete blood count) reveals a platelet count of 25,000/microliter. Which of the following actions related specifically to the platelet count should be included on the nursing care plan? A. Monitor for fever every 4 hours. B. Require… Read More »
Karen has been diagnosed with aplastic anemia. The nurse monitors for changes in which of the following physiologic functions? A. Bowel function B. Peripheral sensation C. Bleeding tendencies D. Intake and output Correct Answer: C. Bleeding tendencies Aplastic anemia decreases the bone marrow production of RBCs, white… Read More »
Nurse Sarah expects to note an elevated serum glucose level in a client with hyperosmolar hyperglycemic nonketotic syndrome (HHNS). Which other laboratory finding should the nurse anticipate? A. Elevated serum acetone level. B. Serum ketone bodies. C. Serum alkalosis. D. Below-normal serum potassium level. Correct Answer: D.… Read More »
A patient who has received chemotherapy for cancer treatment is given an injection of Epoetin. Which of the following should reflect the findings in a complete blood count (CBC) drawn several days later? A. An increase in neutrophil count B. An increase in hematocrit C. An increase in platelet count D.… Read More »
The nurse working the organ transplant unit is caring for a client with a decreased white blood cell count. During evening visitation, a visitor brings a basket of fruit. What action should the nurse take? A. Allow the client to keep the fruit B. Place the fruit next to the bed for easy… Read More »
Lydia is scheduled for elective splenectomy. Before the client goes to surgery, the nurse in charge final assessment would be: A. Signed consent B. Vital signs C. Name band D. Empty bladder Correct Answer: B. Vital signs An elective procedure is scheduled in advance so that all… Read More »