Vital Signs and Laboratory Reference Intervals

A client with atrial fibrillation who is receiving maintenance therapy of warfarin sodium has a prothrombin time (PT) of 35 seconds. On the basis of these laboratory values, the nurse anticipates which prescription?

A staff nurse is precepting a new graduate nurse and the new graduate is assigned to care for a client with chronic pain. Which statement, if made by the new graduate nurse, indicates the need for further teaching regarding pain management?

A client has been admitted to the hospital for gastroenteritis and dehydration. The nurse determines that the client has received adequate volume replacement if the blood urea nitrogen (BUN) level drops to which value?

The nurse is explaining the appropriate methods for measuring an accurate temperature to an assistive personnel (AP). Which method, if noted by the UAP as being an appropriate method, indicates the need for further teaching?

A client is receiving a continuous intravenous infusion of heparin sodium to treat deep vein thrombosis. The client’s activated partial thromboplastin time (aPTT) is 65 seconds. The nurse anticipates that which action is needed?

A client with a history of heart failure is due for a morning dose of furosemide. Which serum potassium level, if noted in the client’s laboratory report, should be reported before administering the dose of furosemide?

Several laboratory tests are prescribed for a client, and the nurse reviews the results of the tests. Which laboratory test results should the nurse report? Select all that apply.

1. Platelets 35,000 mm3(35×109/L (35×10°/L)
2. Sodium 150 mEq/L(150 mmol/L)
3. Potassium 5.0 mEq/L (5.0 mmol/L)
4. Segmented neutrophils 40%(0.40)
5. Serum creatinine,1 mg/dL (88.3 mcmol/L)
6. White blood cells, 3000 mm3(3.0×1 3(3.0×10°/L)

The nurse is caring for a client who takes ibuprofen for pain. The nurse is gathering information on the client’s medication history and determines it is necessary to contact the primary health care provider (PHCP) if the client is also taking which medications? Select all that apply.

1. Warfarin
2. Glimepiride
3. Amlodipine
4. Simvastatin
5. Atorvastatin

A client with diabetes mellitus has a glycosylated hemoglobin A1c level of 8%. On the basis of this test result, the nurse plans to teach the client about the need for which measure?

The nurse is caring for a client with a diagnosis of breast cancer who is immunosuppressed. The nurse would consider implementing neutropenic precautions if the client’s white blood cell count was which value?

A client brought to the emergency department states that he has accidentally been taking 2 times his prescribed dose of warfarin for the past week. After noting that the client has no evidence of obvious bleeding, the nurse plans to take which action?

The nurse is caring for a postoperative client who is receiving demand-dose hydromorphone via a patient-controlled analgesia (PCA) pump for pain control. The nurse enters the client’s room and finds the client drowsy and records the following vital signs: temperature 97.2° F (36.2°C) orally, pulse 52 beats per minute, blood pressure 101/58 mm Hg, respiratory rate 11 breaths per minute, and SpO2 of 93% on 3 liters of oxygen via nasal cannula. Which action should the nurse take next?

An adult female client has a hemoglobin level of 10.8 g/dL (108 mmol/L). The nurse interprets that this result is most likely caused by which condition noted in the client’s history?

A client with a history of upper gastrointestinal bleeding has a platelet count of 300,000 mm3 (300 x 10°/L). The nurse should take which action after seeing the laboratory results?