Mark Klimek Lab Values Questions And Answers With Latest Quiz

what are the 5 D class lab values - Answer-potassium 6+ pH 6 or less PO2 60-69 CO2 60-69 platelets <40,000 (potassium and pH in the 6s, PO2 or CO2 in the 60s, and platelets <40,000) what are the C priority lab values - Answer-INR 4 or greater potassium <3.5 or 5-5.9 PO2 70-77 O2 <93 abnormal sodium with decreased LOC WBC <5000 ANC <500 CD4 <200 (AIDs) platelets <40,000 what are the priority actions for C and D level lab values? - Answer-hold assess prepare call what is the significance of creatinine - Answer-best indicator of kidney function what is the normal range for creatinine - Answer-0.6-1.2what do you do if your patient has a creatinine of 2 - Answer-abnormal creatinine is priority A no immediate action. only need to call doctor to notify them before some sort of test with dye involved what is normal range for INR - Answer-2-3 what priority is an INR of 4 or greater and what should the nurse do? - Answer-INR 4 or greater is C hold the warfarin assess for bleeding prepare to give vitamin K call physician what should the nurse do if the patient's potassium is 3? - Answer-potassium <3.5 is C assess the heart prepare to give potassium call the physician what should the nurse do if the patient's potassium is 6.5 - Answer-potassium of 6 or greater is D hold all potassium prepare kaexelate call MD, get EKG what should the RN do if the patient's potassium is 5.5? - Answer-5.4-5.9 is C hold all potassium assess the heart prepare to give Kaexelate, D5W, regular insulin call physicianwhat is a normal potassium - Answer-3.5-5.3 what should the RN do if the patient's pH is 6.9? - Answer-priority D assess vital signs (as the pH goes, so goes your patient) physician must determine what the cause is and come up with treatment what is the normal range for BUN - Answer-8-25 what should the nurse do if there is an abnormal BUN? - Answer-priority B assess for dehydration when someone is hypoxic, what speeds up first, the HR or the RR - Answer-HR what are the two most common causes of episodic tachycardia in heart patients? - Answer-hypoxia and dehydration what is the normal range for hemoglobin - Answer-12-18 what should the nurse do if the patient's hemoglobin is 9? - Answer-8-11 is priority B assess for malnutrition or anemia what should the nurse do if the patient's hemoglobin is 7.5? - Answer-<8 is priority C assess for bleeding prepare to adminsiter blood call physician what is the normal range for bicarb? - Answer-22-26what priority level is an abnormal bicarb? - Answer-A where do you get the CO2 measurement? - Answer-ABG what is the normal range for CO2? - Answer-35-45 what should the RN do if the patient's CO2 is 53? - Answer-50-59 is priority C except in COPD patients assess respiratory status pursed lip breathing (usually corrects the problem) what should the nurse do if the patient's CO2 is 65? - Answer-60-69 is D respiratory failure assess respiratory status pursed lip breathing--probably won't help too much prepare for intibation and ventilation call respiratory then call MD what is a normal hematocrit? - Answer-36-54 (hemoglobin X3) what should the nurse do for a hematocrit of 60? - Answer->54 is priority B assess for dehydration what is the normal PO2? - Answer-78-100 how is the PO2 measured? - Answer-ABG what should the nurse do if the patien's PO2 is 74? - Answer-70-77 is C give O2, usually corrects itself--dyspnea goes awaywhat should the nurse do if the PO2 is 64? - Answer-60-69 is priority D respiratory failure give O2 assess resp status prepare for intubation and ventilation call respiratory and MD COPD patients run high on_____ and low on______ - Answer-CO2; SaO2 BNP is the best indicator of - Answer-CHF what is the normal range for BNP? - Answer-<100 what should the nurse do if the BNP is less than 100 - Answer-no immediate action--priority B indicates CHF what is the best indicator of CHF? - Answer-BNP what is the normal sodium level? - Answer-135 to 145 what should the nurse do for high sodium? - Answer-priority B assess for dehydration what should the nurse do for low sodium - Answer-priority B assess for overload what should the nurse do if the sodium is 155 and the patient is confused? - Answer-priority Chold assess prepare call what is the normal total WBC - Answer-5,000 to 11,000 what is the normal absolute neutrophil count? - Answer->500 what is the normal CD4 count? - Answer->200 what should a nurse do for a WBC of 4,000 - Answer-<5,000 priority C assess for signs of infection place on neutropenic precautions what should a nurse do for an ANC of 300 - Answer-<500=priority C assess for signs of infection place on neutropenic precautions what should a nurse do for a CD4 count of 190 - Answer-priority C assess for signs of infection place on nuetropenic precautions indicates AIDs what should the nurse do for a platelet count of 80,000 - Answer-<90,000 priority C thrombocytopenic(bleeding) precautions what should the nurse do for a platelet count of 20,000 - Answer-<40,000 priority Dthrombocytopenic (bleeding) precautions what is the normal RBC - Answer-4-6 million what priority is an abnormal RBC - Answer-priority B normal urine specific gravity - Answer-1.010-1.025