A nurse observes reddish-purple spots and areas of purple bruising on a newly admited patient. Which laboratory results support this assessment finding?

INR 0.9

Hematocrit 28%

WBC 4500

Platelets 60000

Answer and Explanation

The Correct Answer is D

Choice A reason: An INR of 0.9 is within the normal range (0.8-1.2) and does not support the presence of bruising or bleeding disorders.

Choice B reason: A hematocrit level of 28% is below the normal range (36%-50% for women, 40%-54% for men), indicating anemia, but it does not directly explain bruising or petechiae.

Choice C reason: A WBC count of 4500 is within the normal range (4500-11000), suggesting that there is no active infection or leukocytosis that would explain the bruising.

Choice D reason: A platelet count of 60000 is below the normal range (150000-450000), which can lead to easy bruising and petechiae, supporting the nurse's observation.

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Correct Answer is D

Explanation

Choice A reason: While it is useful to know the patient's current pain management strategies, new onset severe back pain could indicate a serious complication such as a spinal fracture or compression, which requires immediate attention.

Choice B reason: Reassuring the patient is not appropriate without further assessment, as new onset severe pain could signify a serious issue that needs to be addressed.

Choice C reason: Suggesting a back brace may be part of the management plan, but it should not precede notifying the healthcare provider of new severe pain.

Choice D reason: Notifying the healthcare provider is the correct action because new onset severe back pain in a patient with multiple myeloma could indicate a serious condition such as a spinal fracture or compression, which requires prompt evaluation and treatment.

A. Hyperkalemia B. Hypernatremia C. Hypercalcemia D. Hypophosphatemia

Correct Answer is A

Explanation

Choice A reason: Hyperkalemia is a common electrolyte imbalance in prerenal AKI due to decreased kidney function and the inability to excrete potassium.

Choice B reason: Hypernatremia is not typically expected in prerenal AKI unless there is an associated condition causing increased sodium retention.

Choice C reason: Hypercalcemia is not commonly associated with prerenal AKI.

Choice D reason: Hypophosphatemia is less likely in prerenal AKI; hyperphosphatemia is more common due to decreased filtration of phosphate.

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A nurse observes reddish-purple spots and areas of purple bruising on a newly admited patient. Which laboratory results support this assessment finding?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient with multiple myeloma calls the home health nurse complaining of severe back pain of new onset. The appropriate response by the nurse is to do which of the following?

Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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