Exhibits

What laboratory specimens would the nurse expect for the provider to order? Select all that apply.

Blood culture

Prothrombin time

Hemoglobin and hematocrit

Type and screen

Albumin

Lipid panel

Answer and Explanation

Correct Answer : A,B,C,D

A. Blood culture is essential to identify any potential infection that the patient may have, which is a common complication after trauma.
B . Prothrombin time is crucial for assessing the blood's clotting ability, especially since the patient has a suspected fracture and could be at risk of bleeding.
C . Hemoglobin and hematocrit are fundamental tests to evaluate for anemia or blood loss, which is particularly relevant given the patient's fall and the possibility of internal injuries. D . Type and screen is necessary in case the patient requires a blood transfusion due to the injuries sustained from the fall.
E . Albumin is not typically a priority in acute trauma settings and would not necessarily be expected as an immediate test.
F . Lipid panel is not relevant in the acute management of trauma and is not typically ordered in the emergency setting

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Correct Answer is A

Explanation

A. Leave the room and close the door quietly. Respecting the client's privacy is essential. The nurse should leave the room quietly and return later to administer the medication.
B. Ignore the behavior and hang the IV antibiotic. Ignoring the behavior and proceeding with the medication administration would violate the client's privacy.
C. Complete an unusual occurrence report. This situation does not require an incident report; it is a private matter between the client and the visitor.
D. Tell the client to stop the inappropriate behavior. The behavior is not necessarily inappropriate within the context of the client's rights to privacy and intimacy.

A. For the next 24 hours, notify the nurse when the bladder is full, and the nurse will collect catheterized specimens. B. Urinate immediately into a urinal, and the lab will collect the specimen every 6 hours for the next 24 hours. C. Urinate at a specified time, discard this urine, and collect all subsequent urine during the next 24 hours. D. Cleanse around the meatus, discard the first portion of voiding, and collect the rest in a sterile bottle.

Correct Answer is C

Explanation

A. For the next 24 hours, notify the nurse when the bladder is full, and the nurse will collect

catheterized specimens: This instruction is incorrect for a 24-hour urine collection. Catheterized specimens are not typically used for creatinine clearance tests, and the nurse should not be notified when the bladder is full.
B. Urinate immediately into a urinal, and the lab will collect the specimen every 6 hours for the next 24 hours: This instruction is incorrect for a 24-hour urine collection. Creatinine clearance
tests require collection of all urine produced over a 24-hour period, not just specimens at specific intervals.
C. Urinate at a specified time, discard this urine, and collect all subsequent urine during the next 24 hours: This is the correct instruction for a 24-hour urine collection. The client should begin by discarding the first voided urine and then collect all subsequent urine produced over the next 24 hours, including the urine from the specified time.

D. Cleanse around the meatus, discard the first portion of voiding, and collect the rest in a sterile bottle: This instruction is not appropriate for a 24-hour urine collection. It describes a procedure for collecting a clean-catch urine sample, which is different from a 24-hour urine collection for creatinine clearance.

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Exhibits What laboratory specimens would the nurse expect for the provider to order? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is C

Explanation

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Exhibits Which may have caused the change in the Glasgow Coma Scale score between 2000 and 2400? Select all that apply.

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Exhibits

What laboratory specimens would the nurse expect for the provider to order? Select all that apply.