Lab Values
Give the appropriate reference range for potassium
3.5-5
A patient with a PMH of CHF is currently taking Lasix for fluid volume overload. The patient presents with complaints of new onset palpitations. As the nurse, we understand that it is crucial to monitor which lab value?
Potassium
Reference Range: 3.5-5.0
A female patient arrives to the Emergency Department with complaints of fatigue and weakness. Upon assessment the patient appears pale and has a Hgb of 7.6 of Hct 22.8%.
As a nurse, we should understand that what term signifies the low H&H?
Anemia
Of the following orders, which of the following abbreviations are listed on the Joint Commissions DO NOT USE list?
- Administer Lasix 10 mg q12h
- Administer Levothyroxine 125 mcg qd
- Administer MS 4 mg q4h PRN pain
DO NOT USE:
- qd
- MS
Convert the following weight to kg: 16 lbs 11 oz
Round to the nearest hundredths
7.59 kg
Provide the normal reference range for WBC
4500-10,000
A patient presents with a PMH of CHF and states that they are now experiencing decreased urine output and increased swelling noted to the ankles. The physician is concerned of decreased kidney function.
As the nurse, we can expect the physician to put in orders to monitor which lab values?
BUN and Cr
BUN: 10-20 & Cr: 0.5-1.2
A 56 year old female patient presents to the clinic after undergoing extensive chemotherapy in previous days. Upon arrival, it is noted that the patient's WBC is 2200 with a Neutrophil percentage of 36%.
What term best explains the lab values presented above?
Neutropenic
Provide 2 examples of a Beta Blocker
Propranolol
Atenolol
Order: Administer 0.9% Sodium Chloride 250 mL in 20 minutes.
What is the flow rate?
750 mL/hr
What is the normal reference range for Magnesium?
1.3-2.1
The nurse is caring for a patient with a history of chronic alcohol abuse. The patient presents with an enlarged abdominal girth and yellowing of the sclera.
The nurse can expect which labs to be drawn on this patient?
AST and ALT
Reference Ranges:
AST: 0-35
ALT:4-36
Low platelet count
Reference range: 150,000 - 400,000
A patient presents unconscious with bradycardia, bradypnea and red, streaked veins noted to the RUE (track marks). The nurse can anticipate what reversal medication to be administered?
Naloxone (Narcan)
Order: Morphine Sulfate 3 mg q4h PRN pain
Supply: 2mg/mL
How many mL will the nurse administer per dose?
1.5 mL/dose
Provide the normal reference ranges for the following:
- Hemoglobin
- Hematocrit
Hemoglobin: 12-18
Hematocrit:
-Female: 37% - 47%
-Male: 42%-52%
A 14 year-old patient presents with complaints of pain and swelling to the hands/fingers with limited ROM noted.
The physician is concerned of Rheumatoid Arthritis. As the nurse, we can expect the physician to order which labs?
CRP & ESR
A 14 year old patient presents with complaints of nausea and vomiting x 2 days with a low-grade fever. Within the last 24 hours, she has experienced a 101 degree F temp with abdominal pain localized to the RLQ. Upon assessment, it is noted that the patient's WBC is currently 18,000.
What term best explains the elevation seen in WBC?
What is the normal reference range for WBC?
Leukocytosis
Reference Range: 4500-10,000
Provide the endings for ACE Inhibitors and CCB. Provide 1 example of each!
ACE: -pril (Lisinopril)
CCB: -pine (Amlodipine)
Order: Ampicillin 800 mg IVPB q6h. Recommended range: 100-200 mg/kg/day in divided doses q
6-8 hr (not to exceed 12g/day)
Weight: 52 lb
A. Is this dose within SDR? __________
23.64 kg
Min: 590.91 mg/dose
Max: 1181.82 mg/dose
A. Yes, safe
What are the normal reference ranges for the following:
BUN & Cr
BUN: 10-20
Cr: 0.5-1.2
A patient with chronic Afib is currently on Coumadin therapy. What lab needs to be continuously monitored while on this type of therapy? What is the preferred reference range for a patient on Coumadin therapy?
INR
Coumadin preferred range: 2.0-3.0
A patient undergoing chemotherapy presents with Pancytopenia.
The nurse understands that this term indicates what?
List the normal reference ranges for the labs involved.
Low WBC, low RBC, low Plt
WBC: 4500- 10,000
RBC: 4.2-6.0
Plt: 150,000- 400,000
A patient with Afib is receiving Warfarin and needs emergency surgery. What medication should be on standby during surgery due to medication history?
Vitamin K
Prescription: Protonix 40mg IVP Daily
Supply: Protonix Powder 40mg
Drug Information: Reconstitute with 10mL NS, push over at least 2 minutes
1. How many mL of TOTAL VOLUME should the nurse administer?
2. Using a 10mL syringe with 5 calibrations per mL, the nurse should push the medication at a rate
of how many seconds per calibration?
1. 10 mL
2. 3 sec/cal