Diagnostics

*A nurse is admitting a client who is dehydrated. Which of the following BUN levels should the nurse expect the client to have upon admission? 10 mg/dL 3.1 mg/dL 35 mg/dL 16.5 mg/dL

35 mg/dL

A nurse is reviewing the laboratory results for four clients. The nurse should recognize which of the following clients has a manifestation of hypoparathyroidism? A client who has a magnesium of 1.8 mEq/L A client who has a calcium of 9.8 mg/dL A client who has a vitamin D of 25 ng/mL A client who has a phosphate of 5.7 mg/dL

A client who has a phosphate of 5.7 mg/dL

When evaluating the therapeutic response for a client receiving a heparin infusion, which laboratory results should the nurse monitor? Complete blood count (CBC) Activated partial thromboplastin time (aPTT) International normalized ratio (INR) Prothrombin time (PT)

Activated partial thromboplastin time (aPTT)

*A nurse is monitoring a client who has acute kidney injury. Which of the following laboratory findings should the nurse expect? Metabolic alkalosis Hypercalcemia Elevated BUN Hypokalemia

Elevated BUN

A nurse is reviewing a client's lab results. Which of the following lab values should the nurse report to the provider? Sodium 126 mEq/L Chloride 99 mEq/L Magnesium 1.9 mEq/L Potassium 3.6 mEq/L

Sodium 126 mEq/L

A nurse is reviewing the arterial blood gas (ABG) results of a client who the provider suspects has metabolic acidosis. Which of the following results should the nurse expect to see? PaCO2 above 45 mm Hg PaO2 below 70 mm Hg HCO3 above 26 mEq/L pH below 7.35

pH below 7.35

A nurse is reviewing a client's laboratory values and discovers the client has a serum potassium of 6.2 mEq/L. Which of the following interventions should the nurse anticipate? Encouraging the client to eat bananas. Administering sodium polystyrene sulfonate. Administering a potassium-sparing diuretic. Initiating an IV potassium infusion.

Administering sodium polystyrene sulfonate.

*A nurse is reviewing the laboratory results of an adolescent female client and notes a WBC count of 16,000/mm³ with increased immature neutrophils (bands) and normal monocytes. Which of the following is the appropriate analysis of the results? A resolving inflammatory process An acute infectious process Allergic reaction Neutropenia

An acute infectious process

A nurse is reviewing a client's laboratory results and finds the hemoglobin is 10 g/dL and the hematocrit is 30%. The nurse recognizes that the client is at risk for which of the following? Cellular hypoxia Fluid retention Impaired immunity Prolonged bleeding

Cellular hypoxia

A nurse is reviewing the medical record of a client who has a potassium level of 3.0 mEq/L. Which of the following findings should the nurse recognize as a potential causative factor? Client has an NG tube to gastric suction. Client is currently prescribed spironolactone. Client reports drinking 3.5 to 4 L of water each day. Client has a history of alcohol abuse disorder.

Client has an NG tube to gastric suction

*A nurse is reviewing a client's laboratory report of blood gas findings: HCO3- 18 mEq/L and PaCO2 28 mm Hg. Which of the following pH values and conditions should the nurse expect when interpreting these findings? Elevated pH and respiratory alkalosis Elevated pH and metabolic alkalosis Decreased pH and metabolic acidosis Decreased pH and respiratory acidosis

Decreased pH and metabolic acidosis

A nurse is caring for a client who has a postoperative ileus and an NG tube that has drained 2,500 mL in the past 6 hr. Which of the following electrolyte imbalances should the nurse monitor the client for? Decreased potassium level Elevated magnesium level Elevated sodium level Decreased calcium level

Decreased potassium level

*A nurse is assessing a client who has Graves' disease. The nurse should expect which of the following laboratory results? Decreased thyroid-stimulating immunoglobulins (TSI) percentage Decreased thyroxine (T4) level Decreased triiodothyronine (T3) level Decreased thyroid-stimulating hormone (TSH) level

Decreased thyroid-stimulating hormone (TSH) level

A nurse is caring for a male client who reports nausea and vomiting and is receiving IV fluid therapy. His blood urea nitrogen (BUN) is 32 mg/dL, creatinine 1.1 mg/dL, and hematocrit 50%. Which of the following nursing interventions is appropriate? Decrease the IV fluid infusion rate and limit oral fluid intake. Continue routine care because the results are within the expected reference range. Collect a urine specimen for culture and sensitivity. Evaluate urine for amount and for specific gravity.

Evaluate urine for amount and for specific gravity.

*A nurse is caring for a client who has metabolic alkalosis. For which of the following clinical manifestations should the nurse monitor? (Select all that apply.) Kussmaul's respirations Circumoral paresthesia Flushing Lethargy Bicarbonate excess

Kussmaul's respirations Circumoral paresthesia bicarbonate excess

A nurse is caring for a client who has the following arterial blood gas results: HCO3 18 mEq, PaCO2 28 mm Hg and pH 7.30. The nurse recognizes the client is experiencing which of the following acid base imbalances? Respiratory acidosis Metabolic acidosis Respiratory alkalosis Metabolic alkalosis

Metabolic acidosis

A nurse is admitting a client who has influenza and is reporting numbness and tingling of the toes and fingers. The nurse should recognize the client is experiencing which of the following acid-base imbalances? Metabolic alkalosis Metabolic acidosis Respiratory acidosis Respiratory alkalosis

Metabolic alkalosis

*A nurse is assessing a preschooler who has a calcium level of 8.0 mg/dL. Which of the following findings should the nurse expect? Polyuria Dry, sticky mucous membranes Muscle tremors Negative Chvostek's sign

Muscle tremors

A nurse is assessing a client who has a sodium level of 116 mEq/L. Which of the following findings should the nurse expect? Extreme thirst Fever Nausea and vomiting Flushed skin

Nausea and vomiting

*A nurse is reviewing the laboratory data of a client following a hemodialysis treatment. The nurse should expect to find a decrease in which of the following laboratory values? Calcium Protein RBC count Potassium

Potassium

*A nurse is caring for a client who had total thyroidectomy and a serum calcium level of 7.6 mg/dL. Which of the following findings should the nurse expect? Shortened QT intervals. Tingling of the extremities Constipation Hypoactive deep tendon reflexes.

Tingling of the extremities

A nurse is caring for a 3-year-old child who was admitted with acute diarrhea and dehydration. Which of the following findings indicates that oral rehydration therapy has been effective? Heart rate 130/min Capillary refill greater than 3 seconds Respiratory rate 24/min Urine specific gravity 1.015

Urine specific gravity 1.015

A nurse is caring for a child who has acute appendicitis. Which of the following results should the nurse anticipate when reviewing this client's laboratory values? Lymphocytes 3,000/mm3 Neutrophils 3,000/mm3 RBC 4.2 million/mm3 WBC 17,000/mm3

WBC 17,000/mm3

A nurse is assessing a client who is receiving bolus enteral feedings. Which of the following laboratory values indicates the client needs a change in the formula? a. Urine specific gravity 1.022 b. Hematocrit 42% c. BUN 28 mg/dL d. Sodium 142 mEq/L

c. BUN 28 mg/dL

A nurse is assessing a client who has hypokalemia as a result of nausea, vomiting, and diarrhea. Which of the following findings should the nurse expect? Weak, irregular pulse Hyperactive reflexes Hyperactive bowel sounds Extreme thirst

weak, irregular pulse