Laboratory Studies

The asymptomatic patient tested positive for Neisseria gonorrhoeae during routine screening for sexually transmitted infections (STI). The nurse anticipates administering which medications? Select all that apply.

The patient has had a positive rapid plasma reagin (RPR) test. Further testing will most likely reveal the presence of which organism?

The full-term neonate (3.2 kg) born precipitously to a mother of unknown infectious disease status has had a positive rapid plasma reagin (RPR) test. The nurse plans care to perform which intervention first?

The nurse changes the dressing of the patient with a sacral pressure injury. Upon removal of the dressing, the nurse notes yellow drainage on the dressing with a fruity odor. Place the nurse’s actions in the correct order from first to last.

During routine tracheostomy care, the nurse notes increased drainage from the stoma and a fruity, grape juice odor. The nurse obtains a culture of the secretions and anticipates the results will reveal which organism?

The nurse advocates for a guaiac test to be performed on the patient with which stool?

The gravida 3 para 2 pregnant woman is being screened for gestational diabetes. Which characteristics increase the woman's risk? Select all that apply.

The patient returns from Mexico with severe diarrhea lasting 4 days. The nurse anticipates the serum electrolyte levels to reflect which imbalances? Select all that apply.

The patient has received an infusion of packed red blood cells for the treatment of anemia. The nurse anticipates which lab result following the transfusion?

The patient has a phosphorus level of 5.2 mg/dL. Which additional lab value does the nurse anticipate in the patient related to the phosphorus level?

Two days after an abdominal surgery, the patient develops abdominal distention, tachycardia, fever, and nausea. The provider suspects sepsis. Which order does the nurse implement first?

On the complete blood cell count with differential, the nurse notes the patient has an elevated number of eosinophils. The nurse explains to the patient that eosinophils become elevated due to which causes? Select all that apply.

Carotid duplex testing utilizes which type of energy?

The nurse ensures which laboratory study is collected regularly to monitor the effectiveness and safety of the patient's continuous unfractionated heparin infusion?

The patient with chest pain is undergoing an electrocardiogram (ECG). Which ECG finding prompts the activation of the cardiac catheterization lab?

The nurse anticipates which laboratory results in the patient with end stage liver disease? Select all that apply.

The patient's serum calcium quickly changed to 14 mg/dL (3.5 mmol/L). The nurse anticipates observing which symptoms? Select all that apply.

Which statement is true regarding the indirect Coombs test?

The patient first experienced chest pain 12 hours ago and was diagnosed with a myocardial infarction. The patient’s myoglobin level is noted to be roughly 5 times the normal level. The nurse makes which prediction about the patient’s myoglobin level in 12 hours from the current level?

Which cardiac enzyme is indicated by the dotted line ( ) on the chart?

Which cardiac enzyme is represented by the dot/dash alternating () line?

Which cardiac enzyme is indicated by the dashed ( ) line?

Which cardiac enzyme is noted by the solid line ( )?

The patient who is hospitalized for a knee replacement develops sudden onset crushing chest pain, tachycardia, and tachypnea. On 12-lead electrocardiogram (EKG), ST-segment elevation is noted. Labs are drawn within 30 minutes of onset of chest pain. The nurse anticipates an elevation in which result to confirm diagnosis of acute myocardial infarction?

The patient presents to the emergency department (ED) after a hard workout lifting weights complaining of chest pain. An electrocardiogram is performed and cardiac enzymes are drawn. The patient’s myoglobin level is found to be elevated. Which interpretation of this result is most appropriate?

Which lab result is best for differentiating between myocardial and skeletal muscle damage?

During a well-child visit for the 4-month-old child, the nurse palpates hard nodules where each rib joins the sternum. The nurse reports this finding to the provider and requests which lab studies for this patient? Select all that apply.

The patient found unresponsive in the park is determined to be in ventricular fibrillation. After cardiopulmonary resuscitation and defibrillation, the patient experienced return of spontaneous circulation. Initial survey upon arrival to the emergency department (ED) reveals a cachectic appearance and an edematous mass on the right forearm; upon palpation, the nurse palpates a thrill. The nurse is aware life-saving measures will have which aim?

The nurse expects the patient with severe hypomagnesemia to also show signs of which deficiency? Select all that apply.

Which actions does the nurse take to obtain a sample for culture from the third degree burn wound that appears to be infected? Select all that apply.

Which statement describes the term “viral load” as it relates to human immunodeficiency virus (HIV)?

The patient has Cor pulmonale related to idiopathic pulmonary arterial hypertension. Which lab value is expected?

The patient newly diagnosed with Cor pulmonale is found to have a hematocrit of 55%. Which statement is true regarding this information?

The nurse is evaluating the arterial blood gas results of the patient on hospice with the following respiratory pattern: The patient’s PaCO₂ is 62 mm Hg, which is 20 mm Hg higher than the previous ABG. The nurse understands the patient’s blood gas was drawn at which period in the patient’s respiratory cycle?

Which is the normal range for serum potassium levels in the blood?

Which represents the normal range for serum chloride levels in the blood?

Which represents the normal range for serum calcium levels in the blood?

Which term is used to describe a platelet level of 100,000/μL

Which evening meal choice is appropriate for this patient? Look at the patient’s chart to make a selection.

Which food items does the nurse encourage the patient to eat? Look at the patient’s chart to make selections and select all that apply.

The nurse receives report of four issues at 0800. Which situation is addressed first?

The nurse preceptor is supervising the graduate nurse during shift handoff. Which statements by the graduate nurse would prompt the veteran nurse to clarify for the oncoming nurse? Select all that apply.

The patient who underwent a partial thyroidectomy 1 day ago complains of tingling in the lips and tongue. Upon assessment, the nurse notes increased deep tendon reflexes. Which order does the nurse question for this patient?

A baby is born precipitously to a mother who did not have prenatal care. The neonate requires only the initial steps of resuscitation but is found to have a bilateral cleft lip and palate. Review the patient’s assessment here: Position at rest: Complete flexion Square window: 0° Arm recoil: 75° Popliteal angle: 80° Scarf sign: Elbow does not cross midline Heel to ear: Foot does not reach the umbilicus Skin: No veins visible, cracking of skin at joints, dry Lanugo: Mostly bald skin Plantar surface: Creases over entire sole Breast: 4 mm bud with raised areola Ear: Formed pinna with instant recoil Genitals: Descended testes bilaterally, rugae over entire scrotum For which referrals does the nurse advocate for the baby prior to discharge? Select all that apply.

Several tenants from an apartment building are brought to the emergency department with concern for carbon monoxide poisoning. One patient presents with reddish-purple skin, a blood pressure of 94/48 mmHg, heart rate of 118 bpm, and altered consciousness (arouses when his name is shouted). The nurse anticipates testing will reveal which carbon monoxide level?

The 19-year-old female patient is found unconscious at a party. Bystanders report the individual imbibed a significant amount of grain alcohol and ingested several different pills, including 3,4-methylenedioxymethamphetamine. They observed the patient dancing wildly for several hours; after that, the patient disappeared and was found unconscious an hour later. Vital signs are within defined limits. Which lab result is consistent with the patient’s condition?

The nurse anticipates administering cobalamin and folic acid to the patient presenting with which symptoms? Select all that apply.

The nurse more closely assesses patients with which conditions for signs of pernicious anemia? Select all that apply.  

In the postoperative period following a Whipple procedure, the nurse includes which interventions in the care plan? 

During a shift assessment 14 hours after a prostatectomy, the nurse notes bright red drainage in the continuous bladder irrigation (CBI) drainage bag. Which assessment is most important?