ATI PREDICTOR/NCLEX WITH COMPLETE
VERIFIED 20LUTION 2023/2024
CBC (complete blood count) Components
RBC< Hbg, Hct, WBC, PLT
BMP/CMP Components
NA, K, Ca, Mg, Phos, Creatinine, BUN,Albumin, Glucose
Normal RBC count
4-5.3 million/mm3w
What happens to body temp prior to ovulation?
Drops
Normal: Hbg (hemoglobin) level
12-17g/dL
Normal Hct level (Portion of RBC/ Plasma)
-33-51% (3x Hbg)
-See increase if plasma decreases (even if RBC doesn't increase)
-See decrease if over hydrated (even if RBC doesn't decrease)
*If someone is bleeding out, they are losing RBC and Plasma equally, so you will not
see an initial decline in Hct
Normal PLT count
150,000-450,000/mm3
Normal WBC count
-4,500-11,000/mm3
-Differential or % of each of the 5 types of WBCs which will total 100%
-with inflammation (72 hours after) post-OP, see high WBC (NOT infection)
What two types of WBC are indicative of infection?
Neutrophils and Eosinophils
What is elevated with patients that have chronic "Osis" And "itis?"
Monocytes
Normal BUN level; what it shows?
-8-21
-Indicator for hydration
-decreased=fluid overload
-increased=Dehydration, kidney damage
-IF linked at with Creatinine, shows kidney function
,If albumin is low, and the med you are giving is protein bound, what happens to
patient?
Affects them more intensity
Normal Creatinine level, meaning?
-0.5-1.2mg/dL (once 25% of nephrons are dead, we see increase)
->1.5=50% nephrons dead
-waste product of muscle tissue, MORNING labs
With Addison's disease do we see increase or decrease in Glucose?
decrease
What is the renal threshold for glucose? (at what level will glucose spill into
urine?)
160-190
Are venus blood draws higher or lower than capillary?
10-15% higher
Normal Na level?
135-145
Normal K level?
3.5-5
Normal Ca level?
8.4-10.2
Normal Phos level?
2.6-4.6
Normal Mg level?
1.5-2.6
Serum Osmol normal level?
275-295 (2x Na)
Hypertonic solutions
-D5% in .45% (commonly used)
-D5% in .9% (commonly used)
-3% NaCl (not commonly used)
-Dextrose 10% (not commonly used)
With hyperaldosteronism what will we see?
Hypernatremia
with hypernatremia, what do we see in BP and P?
increase BP and P
What formula do we use to treat hypernatremia?
1L fluid for every 3mEq above 145
with what diseases will we see hyponatremia?
-SIADH
-Adrenal insufficiency (Na loss)
, In the first 1-2 hours we can increase Na by___________?
4-6mEq
Hyperkalemia Manifestations? Treatment?
-Tall T waves, long PR, Wide QRS
-diarrhea, cramps
-weak muscles
Tx:
-Calcium Gluconate
-Sodium Bicarbonate
-Dextrose & Regular Insulin
hypokalemia manifestations
-Bradycardia, ST depression, flat T wave
-decreased intestinal movement, ileus, N/V
-decreased reflexes
parathyroid has what type of relationship with Ca? (direct or indirect?)
Direct
S/S and Tx of Hypercalemia/Hypophosphatemia?
-decreased DTR
-lathargic
-N/V/ Constipation
-Short ST
Tx: loop diuretics, increase fluids
S/S and Tx of Hypocalemia/Hyperphosphatemia?
-Cramps, increased DTRs
-Chvostek (cheek) and Trousseau's
-Numbness and tingling
-long ST
Tx: tums, IV calcium
What two tests go with hypocalcemia?
Chadwick's (cheek) and Trusods (thumb)
Normal Magnesium levels
1.5-2.6
Hypermagnesemia S/S and treatment
lethargy, drowsiness, N/V, absent DTR, cardiac arrest
Tx: mag sulfate, mag gluconate
Normal albumin levels- up or down with age?
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