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. A constant P-R interval greater than 0.20 seconds is characteristic of a first-degree atrioventricular (AV) block.
B. A complete heart block (third-degree block) would result in varying P-R intervals, not a constant one.
C. Premature atrial complexes are premature beats that do not affect the P-R interval.
D. Atrial fibrillation would not have a consistent P-R interval; the atrial rhythm is irregular in fibrillation.
Correct Answer is A,B,C,D,E
Explanation
A. The nurse should begin by donning sterile gloves to maintain a sterile field.
B. The suction machine should be turned on, and the pressure should be set before starting the suctioning.
C. The catheter should be inserted during the client’s inspiration to minimize discomfort and maximize
effectiveness.
D. Suction should be applied while rotating the catheter to prevent tissue damage and to clear secretions effectively.
E. After suctioning, the catheter should be rinsed to remove any remaining secretions.
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