1) The nurse would call the primary care provider immediately for which laboratory result?
1. Hgb = 16 g/dL for a male client
2. Hct = 22% for a female client
3. WBC = 9 × 103/mL3
4. Platelets = 300 × 103/mL3 - ANS Answer: 2. Rationale: Option 2 is very low and can lead to death. The client...
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, 1) The nurse would call the primary care provider immediately for which laboratory result?
1. Hgb = 16 g/dL for a male client
2. Hct = 22% for a female client
3. WBC = 9 × 103/mL3
4. Platelets = 300 × 103/mL3 - ANS Answer: 2. Rationale: Option 2 is very low and can lead to
death. The client's red blood cells participate in oxygenation. Options 1, 3, and 4 are within
normal range and should not be reported to the primary care provider. Cognitive Level:
C
2) A 78-year-old male client needs to complete a 24-hour urine specimen. In planning his care,
the nurse realizes which measure is most important?
1. Instruct the client to empty his bladder and save this voiding to start the collection.
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2. Instruct the client to use sterile individual containers to collect the urine.
3. Post a sign stating "Save All Urine" in the bathroom.
4. Keep the urine specimen in the refrigerator. - ANS Answer: 3. Rationale: Option 3 is the
most important nursing measure. This will inform the staff that the client is on a 24-hour urine
collection. Option 1 is not appropriate since the first voided specimen is to be discarded. Option
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2 is not an appropriate nursing measure since the specimen container is clean, not sterile, and
one container is needed—not individual containers. Option 4 is inappropriate because some
24-hour urine collections do not require refrigeration. Cognitive Level: Understanding. Client
Need: Physiological Integrity.Nursing Process: Implementation. Learning Outcome: 34-6.
3) The client has a urinary health problem. Which procedure is performed using indirect
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3. Retrograde pyelography
4. Cystoscopy - ANS Answer: 2. Rationale: A KUB is an x-ray of the kidneys, ureters, and
bladder. This does not require direct visualization. Option 1 is an IVP, an intravenous pyelogram,
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which requires the injection of a contrast media. Option 3 is a retrograde pyelography, which
requires the injection of a contrast media. Option 4 is a cystoscopy, which uses a lighted
instrument (cystoscope) inserted through the urethra, resulting in direct visualization. Cognitive
Level: Remembering. Client Need: Physiological Integrity. Nursing Process: Assessment.
Learning Outcome: 34-8
4) Which noninvasive procedure provides information about the physiology or function of an
organ?
1. Angiography
2. Computerized tomography (CT)
3. Magnetic resonance imaging (MRI)
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