A nurse is reviewing the laboratory results of a group of clients. Which of the following laboratory findings should the nurse report to the provider?
Glucose of 6.7 mg/dl
WBC of 7000/mm3
Platelet count of 160,000/mm3
Hemoglobin of 6.2 g/dl
The Correct Answer is D
A. Glucose of 6.7 mg/dL: Critically low; however, this is an unrealistic value because normal fasting glucose is 70-100 mg/dL. This might be a typo—if it were 6.7 mmol/L, it would be within the normal range.
B. WBC of 7000/mm³: Normal range (4,000-11,000/mm³), so no immediate concern.
C. Platelet count of 160,000/mm³: Normal range (150,000-400,000/mm³), so no immediate concern.
D. Hemoglobin of 6.2 g/dL: Normal hemoglobin levels are 13.5-17.5 g/dL (males) and 12-15.5 g/dL (females). A hemoglobin of 6.2 g/dL is critically low, indicating severe anemia, blood loss, or bone marrow suppression, which may require blood transfusion or further investigation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Here is the rationale for each choice:
A. HbA1C 5.9%: HbA1C is a measure of long-term glucose control in patients, often used in diabetes management. A value of 5.9% is slightly above the normal range (4–5.7%) but does not indicate hepatotoxicity.
B. Albumin 3.8 g/dl: Albumin is a protein produced by the liver, and its levels can reflect liver function. A normal range is 3.5–5 g/dl, and 3.8 g/dl falls within this range. Thus, it does not indicate hepatotoxicity.
C. Alanine aminotransferase (ALT) 67 units/l: ALT is an enzyme primarily found in the liver and is a key marker for liver injury. The normal range for ALT is approximately 7–56 units/l. A value of 67 units/l is slightly elevated, which may suggest mild liver damage or hepatotoxicity. This result should be reported to the provider, as it could be associated with the medication’s impact on the liver.
D. Aspartate aminotransferase (AST) 39 units/l: AST is another enzyme used to evaluate liver function, though it is less specific to the liver than ALT, as AST is also found in other tissues such as the heart and muscles. The normal range for AST is roughly 10–40 units/l.
Correct Answer is ["320"]
Explanation
- 10 mL medication
- 3 oz formula (1 oz = 30 mL → 3 × 30 = 90 mL)
- 2 oz juice (2 × 30 = 60 mL)
- IV fluids at 20 mL/hr for 8 hours (20 × 8 = 160 mL)
Total intake: 10 + 90 + 60 + 160 = 320 mL
Correct Answer: 320
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