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 A
Explanation
A. The priority for any client, especially one with conduct disorder, is to assess for suicidal ideation or self-harm, which can be life-threatening.
B. Managing behavior is important, but safety concerns take precedence.
C. A criminal record is relevant but not the priority over immediate safety concerns.
D. Assessing peer relationships is important but secondary to evaluating immediate risks.
Correct Answer is D
Explanation
A. A small fluid deficit of 30 mL is not concerning unless it worsens or additional symptoms develop.
B. Decreased appetite and irritability can be expected with gastroenteritis and may not require immediate intervention.
C. A mild fever and increased pulse rate can be expected, but if these values remain stable and other signs of dehydration or worsening illness are absent, they do not require immediate intervention.
D. Sunken fontanels and dry mucous membranes are signs of dehydration and should be reported to the provider immediately.
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