Labs Labs Labs by MikeJenny

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									1
   A client is brought to the ER stating that he
    has accidentally been taking two times the
    prescribed dose of warfarin (Coumadin) for the
    past week. After noting that the client has no
    evidence of obvious bleeding, the nurse plans
    to do which of the following next?
     Prepare to administer an antidote
     Draw a sample for type and crossmatch and
      transfuse the client
     Draws a sample for an activated partial
      thromboplastin time (aPTT)
     Draw a sample for prothrombin (PT) and
      international normalized ratio (INR)
1
   A client is brought to the ER stating that he
    has accidentally been taking two times the
    prescribed dose of warfarin (Coumadin) for the
    past week. After noting that the client has no
    evidence of obvious bleeding, the nurse plans
    to do which of the following next?
     Prepare to administer an antidote
     Draw a sample for type and crossmatch and
      transfuse the client
     Draws a sample for an activated partial
      thromboplastin time (aPTT)
     Draw a sample for prothrombin (PT) and
      international normalized ratio (INR)
2
   The nurse is assigned to a 40-year old
    client who has a diagnosis of chronic
    pancreatitis. The nurse reviews the lab
    results anticipating a laboratory report
    that indicates a serum amylase level of:
     45 units/L
     100 units/L
     300 units/L
     500 units/L
2
   The nurse is assigned to a 40-year old
    client who has a diagnosis of chronic
    pancreatitis. The nurse reviews the lab
    results anticipating a laboratory report
    that indicates a serum amylase level of:
     45 units/L
     100 units/L
     300 units/L
     500 units/L
3
   A 22-year old adult has a cholesterol blood
    test done at a screening clinic sponsored
    by a local health club. The nurse
    volunteering at the screening teaches the
    client that diet and exercise should be used
    as health measures to keep the total
    cholesterol level below:
       80mg/dL
       200mg/dL
       250mg/dL
       300mg/dL
3
   A 22-year old adult has a cholesterol blood
    test done at a screening clinic sponsored
    by a local health club. The nurse
    volunteering at the screening teaches the
    client that diet and exercise should be used
    as health measures to keep the total
    cholesterol level below:
       80mg/dL
       200mg/dL
       250mg/dL
       300mg/dL
4
   A client has been admitted to the
    hospital for a urinary tract infection and
    dehydration. The nurse determines that
    the client has received adequate volume
    replacement if the blood urea nitrogen
    level drops to:
       3mg/dL
       15mg/dL
       29mg/dL
       35mg/dL
4
   A client has been admitted to the
    hospital for a urinary tract infection and
    dehydration. The nurse determines that
    the client has received adequate volume
    replacement if the blood urea nitrogen
    level drops to:
       3mg/dL
       15mg/dL
       29mg/dL
       35mg/dL
5
   A client arrives in the ER complaining of
    chest pain that began 4 hours ago. A
    troponin T blood specimen is obtained and
    the results indicate a level of 0.6ng/mL.
    The nurse interprets that this result
    indicates:
       A normal level
       A low value that indicates possible gastritis
       A level that indicates a myocardial infarction
       A level that indicates the presence of possible
        angina
5
   A client arrives in the ER complaining of
    chest pain that began 4 hours ago. A
    troponin T blood specimen is obtained and
    the results indicate a level of 0.6ng/mL.
    The nurse interprets that this result
    indicates:
       A normal level
       A low value that indicates possible gastritis
       A level that indicates a myocardial infarction
       A level that indicates the presence of possible
        angina
6
   A client is suspected of having a
    myocardial infarction. The nurse
    assesses for elevations in which of the
    following isoenzyme values reported
    with the creatine kinase level?
     MM
     MB
     BB
     MK
6
   A client is suspected of having a
    myocardial infarction. The nurse
    assesses for elevations in which of the
    following isoenzyme values reported
    with the creatine kinase level?
     MM
     MB
     BB
     MK
7
   An adult client has had lab work done as
    part of a routine physical examination.
    The nurse interprets that the client may
    have a mild degree of renal insufficiency
    if which of the following serum creatinine
    levels is noted?
       0.2mg/dL
       0.5mg/dL
       1.9mg/dL
       3.5mg/dL
7
   An adult client has had lab work done as
    part of a routine physical examination.
    The nurse interprets that the client may
    have a mild degree of renal insufficiency
    if which of the following serum creatinine
    levels is noted?
       0.2mg/dL
       0.5mg/dL
       1.9mg/dL
       3.5mg/dL
8
   A client with a history of a seizure disorder
    who has been compliant with medication
    therapy is admitted to the hospital with seizure
    activity. Phenytoin (Dilantin) is administered to
    the client intravenously and subsequently a
    sample for serum Dilantin level is drawn. The
    nurse determines that the medication therapy
    has been effective if the lab result is:
       3mcg/mL
       8mcg/mL
       16mcg/mL
       24mcg/mL
8
   A client with a history of a seizure disorder
    who has been compliant with medication
    therapy is admitted to the hospital with seizure
    activity. Phenytoin (Dilantin) is administered to
    the client intravenously and subsequently a
    sample for serum Dilantin level is drawn. The
    nurse determines that the medication therapy
    has been effective if the lab result is:
       3mcg/mL
       8mcg/mL
       16mcg/mL
       24mcg/mL
9
   A client with atrial fibrillation who is
    receiving maintenance therapy of warfarin
    sodium (Coumadin) has a prothrombin time
    of 35 seconds. Based on the prothrombin
    time, the nurse anticipates which of the
    following orders?
     Adding a dose of heparin sodium
     Holding the next dose of warfarin
     Increasing the next dose of warfarin
     Administering the next dose of warfarin
9
   A client with atrial fibrillation who is
    receiving maintenance therapy of warfarin
    sodium (Coumadin) has a prothrombin time
    of 35 seconds. Based on the prothrombin
    time, the nurse anticipates which of the
    following orders?
     Adding a dose of heparin sodium
     Holding the next dose of warfarin
     Increasing the next dose of warfarin
     Administering the next dose of warfarin
10
   A client who takes theophylline for chronic
    obstructive pulmonary disease is seen in the
    urgent care center for respiratory distress.
    Once the client is stabilized, the nurse begins
    discharge instructions. The nurse would be
    especially vigilant to include information about
    complying with medication therapy if the
    client’s baseline theophylline level was:
       10mcg/mL
       12mcg/mL
       15mcg/mL
       18mcg/mL
10
   A client who takes theophylline for chronic
    obstructive pulmonary disease is seen in the
    urgent care center for respiratory distress.
    Once the client is stabilized, the nurse begins
    discharge instructions. The nurse would be
    especially vigilant to include information about
    complying with medication therapy if the
    client’s baseline theophylline level was:
       10mcg/mL
       12mcg/mL
       15mcg/mL
       18mcg/mL
11
   The nurse checks the laboratory results for
    a serum digoxin level that was determined
    for a client earlier in the day and notes that
    the result is 2.4ng/mL. Which of the
    following is the most important action on
    the part of the nurse:
     Notify the physician
     Check the client’s last pulse rate
     Record the normal value on the client’s flow
      sheet
     Administer the next dose of medication as
      scheduled
11
   The nurse checks the laboratory results for
    a serum digoxin level that was determined
    for a client earlier in the day and notes that
    the result is 2.4ng/mL. Which of the
    following is the most important action on
    the part of the nurse:
     Notify the physician
     Check the client’s last pulse rate
     Record the normal value on the client’s flow
      sheet
     Administer the next dose of medication as
      scheduled
12
   A client is receiving a continuous infusion
    of heparin sodium to treat deep vein
    thrombosis. The client’s activated partial
    thromboplastin time (aPTT) is 65 seconds.
    The clients baseline before initiating
    therapy was 30 seconds. The nurse
    anticipates that which action is needed?
       Discontinuing the heparin infusion
       Increasing the rate of the heparin infusion
       Decreasing the rate of the heparin infusion
       Leaving the rate of the heparin infusion as is
12
   A client is receiving a continuous infusion
    of heparin sodium to treat deep vein
    thrombosis. The client’s activated partial
    thromboplastin time (aPTT) is 65 seconds.
    The clients baseline before initiating
    therapy was 30 seconds. The nurse
    anticipates that which action is needed?
       Discontinuing the heparin infusion
       Increasing the rate of the heparin infusion
       Decreasing the rate of the heparin infusion
       Leaving the rate of the heparin infusion as is
13
   An adult client who has preadmission
    testing before surgery had blood drawn
    for serum electrolyte testing. The nurse
    should report which of the following
    abnormal values to the surgeon’s office
    preoperatively?
       Sodium 148 mEq/L
       Chloride 101 mEq/L
       Potassium 3.8 mEq/L
       Bicarbonate 26 mEq/L
13
   An adult client who has preadmission
    testing before surgery had blood drawn
    for serum electrolyte testing. The nurse
    should report which of the following
    abnormal values to the surgeon’s office
    preoperatively?
       Sodium 148 mEq/L
       Chloride 101 mEq/L
       Potassium 3.8 mEq/L
       Bicarbonate 26 mEq/L
14
   A client with a history of cardiac disease
    is due for a morning dose of furosemide
    (Lasix). Which serum potassium level
    should be reported to the surgeon
    before administering the dose of
    furosemide?
       3.2mEq/L
       3.8mEq/L
       4.2mEq/L
       4.8mEq/L
14
   A client with a history of cardiac disease
    is due for a morning dose of furosemide
    (Lasix). Which serum potassium level
    should be reported to the surgeon
    before administering the dose of
    furosemide?
       3.2mEq/L
       3.8mEq/L
       4.2mEq/L
       4.8mEq/L
15
   An adult client with a history of
    gastrointestinal bleeding has a platelet
    count of 300,000 cells/mm3. Which action
    by the nurse is most appropriate after
    seeing the lab results?
     Report the abnormally low count
     Report the abnormally high count
     Place the client on bleeding precautions
     Place the normal report in the client’s medical
      record
15
   An adult client with a history of
    gastrointestinal bleeding has a platelet
    count of 500,000 cells/mm3. Which action
    by the nurse is most appropriate after
    seeing the lab results?
     Report the abnormally low count
     Report the abnormally high count
     Place the client on bleeding precautions
     Place the normal report in the client’s medical
      record
16
   An adult client with cirrhosis has been
    following a diet with optimal amounts of
    protein because neither an excess nor a
    deficiency of protein has been helpful. The
    nurse evaluates the client’s status as being
    most satisfactory if the total protein level is
    which of the following values?
       0.4g/dL
       3.7g/dL
       6.4g/dL
       9.8g/dL
16
   An adult client with cirrhosis has been
    following a diet with optimal amounts of
    protein because neither an excess nor a
    deficiency of protein has been helpful. The
    nurse evaluates the client’s status as being
    most satisfactory if the total protein level is
    which of the following values?
       0.4g/dL
       3.7g/dL
       6.4g/dL
       9.8g/dL
17
   An adult client was diagnosed with acute
    pancreatitis 9 days ago. The nurse
    interprets that the client is recovering from
    this episode if the serum lipase decreases
    to which of the following values which is
    just below the upper limit of normal?
       20 units/L
       80 units/L
       135 units/L
       350 units/L
17
   An adult client was diagnosed with acute
    pancreatitis 9 days ago. The nurse
    interprets that the client is recovering from
    this episode if the serum lipase decreases
    to which of the following values which is
    just below the upper limit of normal?
       20 units/L
       80 units/L
       135 units/L
       350 units/L
18
   An adult female client has a hemoglobin
    level of 10.8 g/dL. The nurse interprets
    that this result is most likely caused by
    which of the following conditions noted
    in the client’s history?
       Dehydration
       Heart failure
       Iron deficiency anemia
       Chronic obstructive pulmonary disease
18
   An adult female client has a hemoglobin
    level of 10.8 g/dL. The nurse interprets
    that this result is most likely caused by
    which of the following conditions noted
    in the client’s history?
       Dehydration
       Heart failure
       Iron deficiency anemia
       Chronic obstructive pulmonary disease
19
   A client with diabetes mellitus has a
    glycosylated hemoglobin A1C level of
    9%. Based on this test result, the nurse
    plans to teach the client about the need
    to:
     Avoid infection
     Take in adequate fluids
     Prevent and recognize hypoglycemia
     Prevent and recognize hyperglycemia
19
   A client with diabetes mellitus has a
    glycosylated hemoglobin A1C level of
    9%. Based on this test result, the nurse
    plans to teach the client about the need
    to:
     Avoid infection
     Take in adequate fluids
     Prevent and recognize hypoglycemia
     Prevent and recognize hyperglycemia
20
   The nurse is caring for a client with a
    diagnosis of cancer who is
    immunosuppressed. The nurse would
    consider implementing neutropenic
    precautions if the client’s white blood
    cell count was which of the following:
       2,000 cells/mm3
       5,800 cells/mm3
       8,400 cells/mm3
       11,500 cells/mm3
20
   The nurse is caring for a client with a
    diagnosis of cancer who is
    immunosuppressed. The nurse would
    consider implementing neutropenic
    precautions if the client’s white blood
    cell count was which of the following:
       2,000 cells/mm3
       5,800 cells/mm3
       8,400 cells/mm3
       11,500 cells/mm3
21-Select All that Apply
   Several lab tests are prescribed for a
    client and the nurse reviews the results
    of the tests. Select the lab test results
    that are abnormal:
       Calcium 7.0mg/dL
       Magnesium 1.0mg/dL
       Phosphorus 3.6mg/dL
       Neutrophils 1000/mm3
       Serum creatinine 1.0 mg/dL
       White blood cells, 3000/mm3
21-Select All that Apply
   Several lab tests are prescribed for a
    client and the nurse reviews the results
    of the tests. Select the lab test results
    that are abnormal:
       Calcium 7.0mg/dL
       Magnesium 1.0mg/dL
       Phosphorus 3.6mg/dL
       Neutrophils 1000/mm3
       Serum creatinine 1.0 mg/dL
       White blood cells, 3000/mm3
22
   A patient has been told that he has a low
    serum protein level. The nurse should
    know that which of these lab test results
    would confirm this finding?
     High hematocrit
     Low blood urea nitrogen
     High serum creatinine
     Low serum albumin
22
   A patient has been told that he has a low
    serum protein level. The nurse should
    know that which of these lab test results
    would confirm this finding?
     High hematocrit
     Low blood urea nitrogen
     High serum creatinine
     Low serum albumin
23
   A patient who is A negative is to receive
    a unit of packed red cells. Four units of
    packed red cells are available in the
    blood bank. The nurse knows that the
    patient can receive which unit of blood:
       AB+
       AB-
       O-
       O+
23
   A patient who is A negative is to receive
    a unit of packed red cells. Four units of
    packed red cells are available in the
    blood bank. The nurse knows that the
    patient can receive which unit of blood:
       AB+
       AB-
       O-
       O+
24
   A nurse is assessing a patient’s fluid and
    electrolyte balance. The nurse should
    know that the patient is at high risk for
    developing hyperkalemia if the patient:
     Is experiencing 2 hours of profuse
      diaphoresis
     Has been vomiting for over 48 hours
     Is two hours post partial thickness burns to
      trunk and arms
     Has had diarrhea for the past 72 hours
24
   A nurse is assessing a patient’s fluid and
    electrolyte balance. The nurse should
    know that the patient is at high risk for
    developing hyperkalemia if the patient:
     Is experiencing 2 hours of profuse
      diaphoresis
     Has been vomiting for over 48 hours
     Is two hours post partial thickness burns to
      trunk and arms
     Has had diarrhea for the past 72 hours
25
   A client is started on total parenteral
    nutrition (TPN). Which of the following
    lab tests should the nurse monitor
    several times a day?
     Serum calcium and magnesium
     Urine specific gravity
     Blood glucose
     Serum total protein
25
   A client is started on total parenteral
    nutrition (TPN). Which of the following
    lab tests should the nurse monitor
    several times a day?
     Serum calcium and magnesium
     Urine specific gravity
     Blood glucose
     Serum total protein
26
   A 50-year-old woman tells the clinic nurse
    that her menstrual cycles have been
    irregular for the past several months and
    she has been awakened with hot flashes in
    the middle of the night. The nurse should
    inform that woman that these symptoms
    are related to the menopause process and
    are caused by:
       Lower prolactin levels
       Higher testosterone levels
       Decreased estrogen production
       Higher thyroxin production
26
   A 50-year-old woman tells the clinic nurse
    that her menstrual cycles have been
    irregular for the past several months and
    she has been awakened with hot flashes in
    the middle of the night. The nurse should
    inform that woman that these symptoms
    are related to the menopause process and
    are caused by:
       Lower prolactin levels
       Higher testosterone levels
       Decreased estrogen production
       Higher thyroxin production
27
   A man has received a course of
    chemotherapy with intravenous 5-
    Fluorouracil (5-FU) for colon cancer.
    After three months of therapy, the nurse
    would expect which of the following:
       Hematocrit 55%
       Agnosia
       Hypertension
       Platelet count 50,000/mm3
27
   A man has received a course of
    chemotherapy with intravenous 5-
    Fluorouracil (5-FU) for colon cancer.
    After three months of therapy, the nurse
    would expect which of the following:
       Hematocrit 55%
       Agnosia
       Hypertension
       Platelet count 50,000/mm3
28
   A client with AIDS has been admitted to the
    hospital with a preliminary diagnosis of
    Kaposi’s sarcoma. Which of the following
    tests would indicate the patient’s immune
    status related to the development of
    opportunistic infections?
     CD4+ T cell count
     Western blot
     ELISA
     P24 assay
28
   A client with AIDS has been admitted to the
    hospital with a preliminary diagnosis of
    Kaposi’s sarcoma. Which of the following
    tests would indicate the patient’s immune
    status related to the development of
    opportunistic infections?
     CD4+ T cell count
     Western blot
     ELISA
     P24 assay
29
   A patient is experiencing an
    exacerbation of her rheumatoid arthritis
    (RA). Which finding is characteristic of
    RA?
     Accelerated pulses and normal heart rate
     A decreased serum erythrocyte
      sedimentation rate
     Fatigue and bilateral swollen joints with pain
      on movement
     Unilateral hip and groin pain that lasts more
      than two hours
29
   A patient is experiencing an
    exacerbation of her rheumatoid arthritis
    (RA). Which finding is characteristic of
    RA?
     Accelerated pulses and normal heart rate
     A decreased serum erythrocyte
      sedimentation rate
     Fatigue and bilateral swollen joints with pain
      on movement
     Unilateral hip and groin pain that lasts more
      than two hours
30
   A patient is receiving
    methylprednisolone (Solu-Medrol) to
    treat a spinal cord injury at L-1. What
    action should the nurse take to monitor
    one of the adverse effects of this
    medication?
     Monitor level of consciousness every hour
     Conduct a 24-hour creatinine clearance test
     Take a blood glucose reading every four
      hours
     Check skin turgor every two hours
30
   A patient is receiving
    methylprednisolone (Solu-Medrol) to
    treat a spinal cord injury at L-1. What
    action should the nurse take to monitor
    one of the adverse effects of this
    medication?
     Monitor level of consciousness every hour
     Conduct a 24-hour creatinine clearance test
     Take a blood glucose reading every four
      hours
     Check skin turgor every two hours
31
   A patient is undergoing diagnostic
    testing for chronic renal failure. Which of
    these lab values would support a
    diagnosis of chronic renal failure:
     Blood glucose of 115 mg/dL
     Serum creatinine of 1.1 mg/dL
     Serum potassium of 6.1mEq/L
     Blood urea nitrogen 20mg%
31
   A patient is undergoing diagnostic
    testing for chronic renal failure. Which of
    these lab values would support a
    diagnosis of chronic renal failure:
     Blood glucose of 115 mg/dL
     Serum creatinine of 1.1 mg/dL
     Serum potassium of 6.1mEq/L
     Blood urea nitrogen 20mg%
32
   A patient has been prescribed epoetin alfa
    (Epogen) for control of signs and
    symptoms related to chronic renal failure.
    Which finding would indicate that the
    medication is having a direct effect on
    improving the patient’s condition?
       Increased serum creatinine
       Decreased urine magnesium
       Decreased glomerular filtration rate
       Increased red blood cell count
32
   A patient has been prescribed epoetin alfa
    (Epogen) for control of signs and
    symptoms related to chronic renal failure.
    Which finding would indicate that the
    medication is having a direct effect on
    improving the patient’s condition?
       Increased serum creatinine
       Decreased urine magnesium
       Decreased glomerular filtration rate
       Increased red blood cell count
33
   A 12 year old boy is undergoing diagnostic
    studies to determine a diagnosis of acute
    poststreptococcal glomerulonephritis
    (APSGN). Which of these tests would
    indicate an immune-mediated response to
    a streptococcal infection and help confirm a
    diagnosis of APSGN?
       Blood urea nitrogen
       Complement (C3 and CH50) levels
       Complete blood count
       Intravenous pyelogram
33
   A 12 year old boy is undergoing diagnostic
    studies to determine a diagnosis of acute
    poststreptococcal glomerulonephritis
    (APSGN). Which of these tests would
    indicate an immune-mediated response to
    a streptococcal infection and help confirm a
    diagnosis of APSGN?
       Blood urea nitrogen
       Complement (C3 and CH50) levels
       Complete blood count
       Intravenous pyelogram
34
   Sodium polystyrene sulfonate
    (Kayexalate) is ordered for immediate
    administration to a 65-year-old patient
    with renal disease. The nurse would
    anticipate which of these therapeutic
    responses to this medication?
       Reduction in blood serum ammonia
       Elevation of red blood cell count
       Reduction in blood serum potassium
       Elevation in arterial blood pH
34
   Sodium polystyrene sulfonate
    (Kayexalate) is ordered for immediate
    administration to a 65-year-old patient
    with renal disease. The nurse would
    anticipate which of these therapeutic
    responses to this medication?
       Reduction in blood serum ammonia
       Elevation of red blood cell count
       Reduction in blood serum potassium
       Elevation in arterial blood pH
35
   A patient is in intensive care for multiple
    internal injuries and factures due to a motor
    vehicle accident. Which parameter would
    alert the nurse that the patient may be
    undergoing acute renal failure?
     A urine creatinine clearance of 125mL/minute
     Urinalysis showing tubular epithelial cells and
      casts
     BUN/creatinine ratio of 10:1
     A urine specific gravity of 1.020
35
   A patient is in intensive care for multiple
    internal injuries and factures due to a motor
    vehicle accident. Which parameter would
    alert the nurse that the patient may be
    undergoing acute renal failure?
     A urine creatinine clearance of 125mL/minute
     Urinalysis showing tubular epithelial cells and
      casts
     BUN/creatinine ratio of 10:1
     A urine specific gravity of 1.020
36
Zafirlukast (Accolate) is prescribed for a
  client with bronchial asthma. Which lab
  test does the nurse expect to be
  prescribed before the administration of
  this medication?
  Platelet count
  Neutophil count
  Liver function test
  Complete blood count
36
Zafirlukast (Accolate) is prescribed for a
  client with bronchial asthma. Which lab
  test does the nurse expect to be
  prescribed before the administration of
  this medication?
  Platelet count
  Neutophil count
  Liver function test
  Complete blood count
37
   A client who is receiving digoxin (Lanoxin)
    daily has a serum potassium level of 3.0
    mEq/L and is complaining of anorexia. A
    physician orders a digoxin level to rule out
    digoxin toxicity. A nurse checks the results
    knowing that which of the following is the
    therapeutic serum level (range) for
    digoxin?
       0.5-2 ng/mL
       1.2-2.8 ng/mL
       3-5 ng/mL
       3.5-5.5 ng/mL
37
   A client who is receiving digoxin (Lanoxin)
    daily has a serum potassium level of 3.0
    mEq/L and is complaining of anorexia. A
    physician orders a digoxin level to rule out
    digoxin toxicity. A nurse checks the results
    knowing that which of the following is the
    therapeutic serum level (range) for
    digoxin?
       0.5-2 ng/mL
       1.2-2.8 ng/mL
       3-5 ng/mL
       3.5-5.5 ng/mL
38
   A nurse is reviewing the lab results for a
    client receiving tacrolimus (Prograf).
    Which lab result would indicate to the
    nurse that the client is experiencing an
    adverse effect of the medication?
       Blood glucose of 200mg/dL
       Potassium level of 3.8mEq/L
       Platelet count of 300,000 cells/mm3
       White blood count of 6,000 cells/mm3
38
   A nurse is reviewing the lab results for a
    client receiving tacrolimus (Prograf).
    Which lab result would indicate to the
    nurse that the client is experiencing an
    adverse effect of the medication?
       Blood glucose of 200mg/dL
       Potassium level of 3.8mEq/L
       Platelet count of 300,000 cells/mm3
       White blood count of 6,000 cells/mm3
39
   Following kidney transplantation,
    cyclosporine (Sandimmune) is
    prescribed for a client. Which of the
    following lab results would indicate an
    adverse effect from the use of this
    medication?
       Decreased creatinine level
       Decreased hemoglobin level
       Elevated blood urea nitrogen
       Decreased white blood cell count
39
   Following kidney transplantation,
    cyclosporine (Sandimmune) is
    prescribed for a client. Which of the
    following lab results would indicate an
    adverse effect from the use of this
    medication?
       Decreased creatinine level
       Decreased hemoglobin level
       Elevated blood urea nitrogen
       Decreased white blood cell count
40
   A client with trigeminal neuralgia tells the
    nurse that acetaminophen (Tylenol) is
    taken daily for the relief of generalized
    discomfort. Which lab value would
    indicate toxicity associated with this
    medication?
       Sodium level of 140mEq/L
       Prothrombin time of 12 seconds
       Direct bilirubin level of 2mg/dL
       Platelet count of 400,000/mm3
40
   A client with trigeminal neuralgia tells the
    nurse that acetaminophen (Tylenol) is
    taken daily for the relief of generalized
    discomfort. Which lab value would
    indicate toxicity associated with this
    medication?
       Sodium level of 140mEq/L
       Prothrombin time of 12 seconds
       Direct bilirubin level of 2mg/dL
       Platelet count of 400,000/mm3

								
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