Lab results

LAB

Result

Day 1

Result

Day 2

Normal

Range

Hemoglobin

7.1g/dL

6.2g/dL

Female: 11.7-15.5

g/dL.

Male: 14- 17.3 g/dL

Hematocrit

26%

24%

Female: 36%-48%

Male: 42%-52%

Platelets

35,000mm3

20,000mm3

150,000-

450,000mm3

RBC

4.5 mm3

3mm3

Female: 4.01-5.51

million/mm3 Male: 4.51-

The nurse is caring for a client, the lab results are listed in the table. The nurse would anticipate the administration of which blood product(s) for this client?

Cryoprecipitate and red blood cells

Platelets and fresh frozen plasma

Packed red blood cells and platelets

Fresh frozen plasma and cryoprecipitate

Answer and Explanation

The Correct Answer is C

A.   Cryoprecipitate is indicated for low fibrinogen or clotting factor issues, but the client’s primary issue
here is anemia and thrombocytopenia.
B.   FFP is used to replace clotting factors. While it could be considered in certain situations, in this case, the primary concern is the severe anemia and thrombocytopenia.
C.   This is the most appropriate choice, as the patient has low hemoglobin (anemia) and a very low platelet count, both of which require packed red blood cells and platelets.
D.   This combination is typically used for clotting factor issues, not anemia and thrombocytopenia.

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Correct Answer is ["A","C","D"]

Explanation

A. Increased respiratory rate - Fluid overload can lead to pulmonary edema, which causes difficulty breathing and an increased respiratory rate.
B. Increased temperature - Fluid overload does not typically cause a temperature increase. A fever may indicate infection rather than fluid overload.
C. Increased heart rate - The body compensates for fluid overload by increasing the heart rate to maintain cardiac output.
D. Increased blood pressure - Fluid overload leads to increased blood volume, which results in elevated blood pressure.
E. Increase hematocrit - Hematocrit usually decreases with fluid overload, as it is diluted by the extra fluid volume.

A. Hemoglobin 10.1 g/di (normal Female: 11.7-15.5 g/dL: Male: 14-17.3 g/dL B. Brain natriuretic peptide 410 pg/mL (normal less than 100 pg/mL.) C. Sodium 132 mEq/L (normal 135 - 145 mEq/L) D. Fibrinogen level 201 mg/dL (normal 200-400 mg/dL)

Correct Answer is B

Explanation

A. A low hemoglobin level indicates anemia, not heart failure. While anemia can exacerbate heart failure, it is not the primary indicator.
B. BNP is a biomarker that is elevated in response to heart failure. A level above 100 pg/mL is suggestive of heart failure, and 410 pg/mL indicates significant heart stress and likely acute heart failure.
C. A low sodium level (hyponatremia) can occur in heart failure, but it is not specific enough to confirm the diagnosis. BNP is a more direct indicator of heart failure.
D. This is a normal fibrinogen level and does not indicate heart failure. Fibrinogen is more associated with clotting disorders.

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			Male: 14- 17.3 g/dL
Hematocrit	26%	24%	Female: 36%-48% Male: 42%-52%
Platelets	35,000mm3	20,000mm3	150,000- 450,000mm3
RBC	4.5 mm3	3mm3	Female: 4.01-5.51 million/mm3 Male: 4.51-

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Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has fluid overload. Which of the following findings should the nurse expect? (Select all that apply.)

Correct Answer is ["A","C","D"]

Explanation

The nurse is caring for a client diagnosed with acute heart failure on the telemetry unit. Which laboratory result does the nurse know is most indicative of this diagnosis?

Correct Answer is B

Explanation

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