A nurse is caring for a client who has generalized petechiae and ecchymoses. The nurse should expect a prescription for which of the following laboratory tests?
Creatinine clearance
Potassium level
Platelet count
Prealbumin
The Correct Answer is C
A. Creatinine clearance is used to assess kidney function, not related to petechiae or ecchymoses.
B. Potassium levels are important for assessing electrolyte balance but are not directly related to petechiae or ecchymoses.
C. Petechiae and ecchymoses are signs of bleeding, often due to a low platelet count, so this test is appropriate.
D. Prealbumin is a protein marker for nutrition, not directly related to bleeding or clotting issues.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Encouraging the client to spend time in the dayroom may increase stimulation and worsen manic symptoms. A quiet, calm environment is typically more beneficial.
B. Withdrawing privileges is punitive and may escalate agitation or irritability in a client with mania.
C. Seclusion should only be used if the client is a danger to themselves or others. It is not a first-line intervention for anxiety or manic symptoms.
D. Encouraging the client to take frequent rest periods helps manage manic symptoms by preventing fatigue and promoting some level of structure and control over their activities.
Correct Answer is D
Explanation
A. Using the balloon port can contaminate the specimen and is not the proper method to obtain a sterile sample.
B. Disconnecting the catheter from the collection tubing can increase the risk of infection.
C. Unclamping the collection port could cause urine to back up into the catheter and introduce bacteria.
D. The retention port should be used to obtain a sterile specimen from the catheter, as it is designed for this purpose.
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