TEST QUESTION: ABNORMAL LABS

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TODAY’S TEST QUESTION:

CORRECT ANSWER: 

B) Splenectomy hx

 

MORE INFO: 

  • The exact cause of chronic leukocytosis related to splenectomy is not well understood.
  • But it is considered a physiological response.
  • Often leukocytosis is caused from acute or chronic infections, inflammation, physical stress(ex: seizures), post-op patients (peak 2 days), and or steroid use.
  • The are some conditions that tend to cause chronic leukocytosis–> CLL & CML (types of leukemia).
  • Anemia is more likely seen with Addison disease (Leukocytosis not generally seen).
  • Sarcoidosis approx 40% actually have leukopenia (lowered wbc), rather than leukocytosis (epocrates PRO version).
  • Alcoholism-there is bone marrow suppression, which can potentially lower WBCs

Medication Practice Quiz

Sample Quiz–NCLEX Medications:

Are you studying for NCLEX or nursing school in general? You need this quiz & study guide to help focus your studies!

1.
A patient has just been prescribed Metronidazole (Flagyl). Which of the following statements would indicate a need for further teaching?

 
 
 
 
2. A patient is very confused. Labs are drawn. One of their lab levels is significantly elevated. In response, lactulose is ordered to treat this lab level. What diagnosis is lactulose most likely being given for and what lab level will be lowered after administration of lactulose?
 
 
 
 
3. A patient takes an inhaled corticosteroid for asthma and does not rinse their mouth out after using this medicine. What is the most likely complication?
 
 
 
 
4. A patient just had their Dilantin level checked and it is at 34. The next dose is now due. What is the next action the nurse should take?
 
 
 
 
5. A patient stops their metoprolol 4 days ago. Generally beta blockers should have a gradual taper down. What may likely happen with abrupt discontinuation?
 
 
 
 

 

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DISCLAIMER: The information posted is not intended to be medical advice. This is for educational purposes only. This information is intended for medical professionals & students. Check with your primary care provider if you have any questions regarding your health. This is not intended to guide in medical decisions or treatment in any way. As always, medical professionals should call the on call provider if any clarifications are needed. This is not intended to guide or direct medical decisions, treatment choices, and or interventions. State and hospital protocols should always be followed accordingly. Med Made Ez (MME) disclaims any liability for the decisions you make based on this information.

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