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 B
Explanation
A. Penicillin G is not related to sulfa drugs, so checking for a sulfa allergy is not necessary. The nurse should, however, assess for penicillin allergies.
B. Diarrhea can indicate an adverse reaction such as antibiotic-associated colitis (e.g., Clostridium difficile infection), so the client should be instructed to report this symptom.
C. Penicillin G is typically infused over 30 to 60 minutes, not 10 minutes. Infusing it too quickly could increase the risk of side effects.
D. Penicillin G should be stored according to the manufacturer's instructions, but refrigeration is not always necessary. The nurse should check the specific instructions.
Correct Answer is D
Explanation
A. The number of sponges used during the procedure is not necessary for the hand-off report unless the nurse is specifically asked or there is a concern for retained sponges.
B. The client's status as a board member is irrelevant to their medical care and should not be included in the hand-off report.
C. Intubation without complications is important to report but is not as critical as information about blood loss, which directly impacts the client's recovery.
D. Reporting the estimated blood loss is important for the receiving nurse to know as it can affect the client’s hemodynamic status and monitoring postoperatively.
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