Lab Values And Medication Therapeutic Ranges
Normal lab value ranges, therapeutic medication ranges, antidotes, s/s r/t an abnormal range of lab value or medication toxicity.
- 1.A patient is taking a normal therapeutic dose of Warfarin. What would the therapeutic INR be:
- A.
1.5 to 2
- B.
2 to 3
- C.
3 to 5
- D.
3 to 4
- 2.What is the normal magnesium level of an adult:
- A.
6 to 20mg/dl
- B.
1.6 to 2.6mg/dl
- C.
4mg/dl
- D.
1mg/dl
- 3.An adult male client has had laboratory work done as part of a routine physical examination. The nurse reviews the client's record and determines that the client may have a mild degree of renal insufficiency if which of the following serum creatinine levels is found:
- A.
1.6 mg/dl
- B.
1.1mg/dl
- C.
1.9mg/dl
- D.
3.5mg/dl
- 4.A creatinine level of 3.5mg/dl would be associated with(check all that apply)
- A.
Acute renal failure
- B.
Hepatotoxicity
- C.
Chronic renal failure
- D.
Bone marrow suppression
- 5.A patient has a magnesium level of 6mg/dl. What should the nurse do:
- A.
Document the finding in the nurse's notes
- B.
Give the ordered dose of Calcium Carbonate
- C.
Notify the MD
- D.
Monitor for seizures and dysrhymias
- 6.A client with diabetes mellitus has a sample for fating blood glucose drawn. The nurse identifies which of the following results as a critical value:
- A.
150dl/mg
- B.
220mg/dl
- C.
170mg/dl
- D.
340mg/dl
- 7.The client has leukemia. The normal range of WBC is 4.5 to 11. What value is usually seen with this diagnosis.
- A.
6
- B.
18
- C.
2.5
- D.
4
- 8.What is usually given to a patient with diabetic ketoacidosis:
- A.
Insulin
- B.
Potassium
- C.
Orange juice
- D.
A soda pop
- 9.The patient has been taking Lasix and Digoxin. His potassium level is 6. What should the nurse do:
- A.
Get a crash cart
- B.
Add a banana to his supper tray
- C.
Chart the finding and monitor for cardiac arrest
- D.
Give the ordered Kayexalate(polystyrene sulfonate)
- 10.A client with diabetes mellitus has a glycosylated hemoglobin level of 8%. Based on this test result, the nurse plans to reinforce teching measures with the client about the need to:
- A.
Avoid infections
- B.
Take adequate fluids
- C.
Prevent hyperglycemia
- D.
Prevent hypoglycemia
- 11.A critical Hgb A1c would be greater than what value:
- A.
Seven
- B.
Eight
- C.
Nine
- D.
Six
- 12.A postpartum client has an abnormally elevated H and H this would indicate what possiblity(Select all that apply)
- A.
Hypovolemia
- B.
Increase intercranical pressure
- C.
Hemorrhage
- D.
Low sodium level
- 13.What is the normal BUN range
- A.
8 to 26
- B.
10 to 20
- C.
2 to 3
- D.
1.5 to 2
- 14.A BUN of 36 in an older client would mean
- A.
Renal failure
- B.
Renal insuffiency
- C.
Cirrhosis
- D.
UTI
- 15.A client's Dig level is 4. What is the nurse's action
- A.
Give Digibind as ordered
- B.
Hold the med and call the MD
- C.
Give the medication and monitor the HR
- D.
Hold the medication and give Digibind as ordered
- 16.A client's serum ammonia level is 75. what should the nurse do:
- A.
Get an order of a liver biopsy
- B.
Force fluids
- C.
Give Lactalose as ordered
- D.
Elevated the head of the bed
- 17.A patient urine specific gravity is 1.001. This could be related to what condition:
- A.
Diabetes Insipidus
- B.
Hyperthyroidism
- C.
UTI
- D.
Urinary retention
- 18.The client's Dilantin level in 30. Is this high or low:
- A.
Low
- B.
High
- 19.An adult female has a hemoglobin of 10. This would indicate that she has
- A.
Anemia
- B.
Lack of iron in the diet
- C.
Low RBC count
- D.
High WBC count
- 20.An adult male has a hematocrit level of 60. This could indicate what condition
- A.
Hypovolemia
- B.
Renal insuffiency
- C.
Dehydration
- D.
Heart attack
- 21.Pick the most common treatment of hyperkalemia
- A.
1000ml of normal saline
- B.
Insulin
- C.
Infusion of Sodium Bicarbonate
- D.
D5W with glucose
- 22.In Diabetic Ketoacidosis insulin is used to treat the elevated blood sugar, What lab value could be low:
- A.
Potassium
- B.
Bicarbonate
- C.
Urinary ketones
- D.
Urine specific gravity
- 23.If a patient has been given an overdose of Insulin what is the treatment:
- A.
Infusion of potassium
- B.
D5W infusion
- C.
Glucotrol
- D.
Glucophage
- 24.The patient who is receiving a slow infusion of Potassium should closely be monitored for:
- A.
Blood sugar levels
- B.
Vomiting
- C.
Lethargy
- D.
Cardiac dysrhythmias
- 25.A patient is experiencing seizure activity due to his high alcohol intake. Which of the following could be used as anticonvulsant:
- A.
Elavil
- B.
Ativan
- C.
Magnesium Bromine
- D.
Sodium Bicarbonate
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