Lab Values
The normal level is 5000 to 10000/mm2 for this part of the CBC panel.
What is this level referring to?
What are white blood cells
This type of anemia can be r/t increasing age, blood loss r/t gastric ulcers or a nutrition deficiency.
Specify the type of anemia that will be recorded in the EMR
What is Iron Deficiency Anemia?
The LPN is performing data collection for a patient with hx of HIV and notices the pt has developed multiple lesions on his skin that are purple/brown in color. The Nurse know this pt now has which type of skin disorder?
What is Kaposi's Sarcoma?
The nurse is discussing screening tests with a 35 year old female patient who has not seen a primary care provider in > 10 years. The nurse should inform this pt she should schedule which type of diagnostic test for detection of Cervical Cancer?
What is the Papanicolaou test?
This 52 year old female who was recently diagnosed with Acute Lymphocytic Leukemia will be receiving her first round of chemotherapy in one week. Nursing teaching should include the s/e of hair loss and suggests the pt be fitted for a wig prior to the initiation of chemotherapy. The nurse understands this side effect of hair loss has what specific medical term.
What is Alopecia?
This level is 14-18 g/dl for males and
12-16 g/dl for females and assists with transportation of O2.
What component of the CBC panel is this?What is hemoglobin
This type of anemia is caused blood loss r/t trauma or a gastrointestinal bleed and may require transfusions of packed red blood cells.
Specify the type of anemia that will be recorded in the EMR.
What is Acute Blood Loss Anemia?
The LPN who is working in a long term facility has been assigned to care for a 45 year old female pt with 10 year hx of HIV, the pt has accepted her end of life diagnosis, the nurse has provider the recommendation in her SBAR report that includes which type of pain management?
What is routine or scheduled analgesia management?
The LPN is participating in a team meeting for a pt with diagnosis of Advanced Multiple Myeloma and suggests implementing additional safety measures for this pt because she understands this pt is at risk for what type of medical problem?
What are pathological fractures?
A 56 year old male pt has presented to the medical office with c/o difficulty voiding for the past 3 months, the w/u includes an elevated PSA level and the bx result is positive for Prostate Cancer. The nurse can expect the medical provider to prescribe which hormone for management of Prostate Cancer?
What is Leuprolide?
A person with platlet level <150,000/mm3 is a risk of bleeding and can be side effect of several medications.
What is the name of this blood disorder?
What is Thrombocytopenia
The LPN is collecting date from a 55 year old female pt and notices this person has an appearance of "brittle nails". The nurse then reviews the lab result of 7.2 g/dl for the hemoglobin level. What diagnosis should the nurse expect the medical provider to document in the EMR?
What is anemia?
The nurse is caring for the patient with diagnosis of HIV and notices the pt has developed Oral Candidiasis. The nurse understands this patient is at increased risk for bacterial, viral and yeast infections r/t a compromised immune system. What is the name of this type of infection?
What is Opportunistic Infection?
The LPN is participating in a community health event regarding skin cancer. The LPN should inform the group of the importance of avoiding exposure to what environmental and modifiable risk factor.
What is sun exposure?
This 68 year old male pt has presented to the medical office r/t new onset of seizure activity and reports a medical hx of lung cancer. The nurse has reviewed previously drawn labs and notices the pt is hyponatremic. The nurse is notifying the medical provider immediately because he or she suspects this pt is experiencing which type of Oncological emergency?
What is Syndrome of Inappropriate Antidiurectic Hormone (SIADH)
A patient with positive Brca 1 and 2 gene is at risk for this disease than can metastasize via the lymphatic system to the bones, lungs and liver.
What type of cancer is this?
What is breast cancer?
The LPN has provided a patient with medication instructions that recommend drinking the liquid form with a straw to avoid staining of the teeth and also tells the pt therapeutic levels are usually reached in 1 to 2 months.
Name the type of supplement that this patient is taking.
What is Iron supplement?
The nurse if collecting data from a new patient to the medical practice. The pt has disclosed the hx of HIV and is currently compliant with ART management. During the intake, the nurse understands the importance of developing a trusting relationship with this patient but also understands this pt needs referrals to a social worker, case manager and nutritionist. This patient will be seen members of what team during future office visits.
What is the the Interdisciplinary team?
The LPN is collecting data from a 52 year old female who is fair skinned, red hair and freckles, and has learned this pt has a hx of chronic skin irritations and overexposure to tanning beds as well as a genetic predisposition to what type of integumentary disorder?
What is skin cancer?
The nurse has provided instructions for skin hygiene that includes washing with warm water daily r/t pt sx of dry, red and scaling areas on the skin. The nurse has made this recommendation because he or she knows the pt is being managed with which type of cancer treatment?
What is external radiation treatment?
A patient has an elevated production of Immunoglobulin (IgE) with the release of histamine, mast cells and basophils.
This is known as what type of sensitivity reaction?What is a hypersensitivity reaction?
This 72 year old male pt can not tolerate the oral form of an iron supplement. The medical provider has prescribed the parental form of Iron to be given via the IM route. The nurse knows the recommended technique for this injection is known by a specific name.
What is the Z track technique?
The nurse is discussing a therapeutic diet with the 46 year old male pt who has been successfully managing his HIV disease for several years. The nurse knows the pt has understood the teaching when the pt states he will continue with this type of oral intake.
What is a high calorie/high protein diet?
The LPN who is employed in the Dermatologist office is collecting objective data from a 76 year old male pt who presented with small translucent nodule on his nose. The LPN should expect the provider to document what type of diagnosis in the EMR?
What is basal cell carcinoma?
The letters TNM are used for staging cancer in affected patients. The nurse understands the letter M followed by numbers 1 to 4 is r/t which part of the staging process.
What is metastasis?
A patient with decreased T helper cells, specifically
CD4 level < 200/mm3, is most likely experiencing progression of which non curable virus.
AIDS-Acquired Immune Deficiency Syndrome
The patient has presented to the medical office subjective c/o fatigue, dyspnea and tachycardia. The nurse is questioning the pt's occupational hx and learns this pt has hx of exposure to pesticides. The labs results include decreased levels of rbc, wbc and platlets. The LPN understands the medical provider will likely document this rare but serious disorder in the EMR?
What is Aplastic Anemia?
The pt with hx of HIV is a risk for bacterial infection and the nurse understands this is most likely related to an impairment of which type of white blood cells?
What are phagocytes?
The LPN is working with the Oncologist who has been providing medical care for a 48 year old female pt who has a 3 month history of a nevus on her upper back. During this particular office visit, the nurse notices an increase in size and color of the nevus and also notices the irregular borders surrounding this lesion. The nurse knows this pt will be diagnosed with what type of skin cancer?
What is Malignant Melanoma?
The nurse is reviewing side effects of the medication, Tamoxifen with a female pt. The nurse informs the pt one of most common side effects of this medication is similar to sx of menopause and is known as what type of side effect?
What are hot flashes?