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Cassification-Purpose-Description-Normals-Nursing Actions (NCLEX)

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Test Name (Classification)
Purpose/ Description
Normals
Nursing Actions r/t test
Red Blood Cells (RBC)   (Blood Lab Test) Determines actual number of cells in realtion to volume   Man (4.6-6.2)--- Woman (4.2-5.4)    
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White Blood Cells (WBC)   (Blood Labs) Amount/ Maturity of wbc elements   5,000-10,000    
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Hemoglobin   (Blood Labs) hmg /100ml blood   Man (13-18)--- Woman (12-15)    
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Hematocrit   (Blood Labs) RBC/ fluid vol   Man (42-50%)--- Woman (40-48%)    
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Bleed Time   (Blood Labs) Bleeding time   1.9 min    
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Partial Thromboplastin (PTT)   (Blood Labs) Detects coagulations disorders- Heparian effectivness   20-45 sec    
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Platelet/ Thrombocyte count   (Blood Labs) dx hemorrhagic dz   100,000-400,000    
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Prothrombin time (PT)   (Blood Labs) Detects coagulation dz- Coumadin effectiveness   9.5-12 sec    
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Sedimentation Rate (ESR)   (Blood Labs) Indicative of inflammation rbc's settling in venous blood   Man (0-15)--- Woman (0-20)    
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Glucose Tolerance Test (GTT)   (Blood Labs) Ability of body to secrete insulin in response to hyperglycemia   Fasting (60-110)--- 1 hour (90)--- 2 hours (140)--- 3 hours (125)    
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Total Cholesterol (Blood Labs)   Eval. tendency for atherosclerosis   Optimal (<200) --- Borderline (200-239) -- High (>239)   Overnight Fast  
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Low density Lipoproteins [LDL] (Blood Labs)   Eval whether Cholesterol levels caused by LDL or HDL   Optimal (<139) -- Borderline (140-160) --- High (>160)   Fast for 12-14*  
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Creatinine [CR] (Blood Labs)   Eval. Renal function   Adult (0.6-1.5)   NPO 8* Lust meds pt. is taking on lab slip  
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Alkaline Phosphatase (Blood Labs)   Eval. Liver and Bone function   Adult (13-39)   NPO 8-12* List meds pt. is taking on lab slip  
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Creatine Kinase [CK] (Blood Labs)   Dx acute MI/ Decteted in blood in 3-5* after   Man (55-170) --- Women (30-135)   (blank)  
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Serum Albumin (Blood Labs)   Eval Protein Malnutrition   3.5-5.0   (blank)  
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Oscillometry (Arterial Dx)   Abnorm= level of occlusion/ Alts in pulse vol. measured by placing a cuff around extremity at different levels attached to a monitor   (blank)   (blank)  
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Skin Temp Studies (Arterial Dx)   Coldness in room temp= poor circulation/ palpation comparison OR immerse one extremity in cold water and watch for change in opposite extremity [reflex vasodilation]   (blank)   (blank)  
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Angiography/ Arteriography (Arterial Dx)   abnormals = obstruction or narrowing/ Contrast Dye injected into arteries and x-rayed   (blank)   Check for allergies to dye/iodine, PC: Post procedure: thrombosis  
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Exercise tx for intermittment claudication (Arterial Dx)   Claudication= inablitiy of damaged arteries to incr. blood flow ie oxygen to cells/ Pt exercise till pain occurs, duration measured   (blank)   (blank)  
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Lumbar Sympathetic block (Arterial Dx)   Decres. limb pain and incres. temp. = sympathectomy out help improve circulation in extremities   (blank)   (blank)  
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Phelbography (Venous Dx)   Lack of filling= occulation d/t thrombus/ Thrombi id'd as radiolucent areas in opaque filled veins   (blank)   Check for allergies to dyes/ iodine preps  
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Venous Pressure Measurements (Venous Dx)   Eval thrombophlebitis before collateral veins develop/ Venous pressure in one leg causes other leg to have a higher pressure   (blank)   (blank)  
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Isotope Studies (Venous Dx)   Dx: early formation of thrombi/ Fibrinogen labeled with radioactive iodine clots counted   (blank)   Check for allergies to dyes/ iodine preps  
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Doppler Studies/ Ultrasonic Flow Detection (Venous Dx)   Id's obstruction in blood flow in extremities/ Electronic stethoscope that detects sound of blood flow   (blank)   (blank)  
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Culdoscopy (Reproductive)   See ovaries, fallopian tubes, uterus via lighted tube/ Inserted through vagina and through cul-de-sac, local anesthetic or light sedation   (blank)   PRE: position knee-chest, POST: position: prone, watch for bleeding, NO douching or intercourse for 2 weeks  
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Colposcopy (Reproductive)   Like pelvic exam/ Takes 20 minutes, Position: Lithotomy, cervix washed with dilute acetic acid, performed between menstral cycles   (blank)   (blank)  
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Laparoscopy (Reproductive)   View pelvic cavity/ Through incision beneath belly button to view structures, General Anaesthesia, CO2 used to enhance visualization   (blank)   Pre: Foley to decompress bladder POST: out of bed asap  
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Cultures and smears (Reproductive)   Sample tissue taken to id process or abnormalities   (blank)   Chlamydia smear need media prep for lab  
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Cervical biopsy (Reproductive)   Sample tissue taken to id abnormalities   Cramping sensation   Restrictions on intercourse, swimming, douching for 3 days  
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Urinalysis (Urinary System)   Id kidney abnormalities/ save 1st am specimen   overnight is more concentrated pH 4.5-8, Specific gravity 1.010-1.030   (blank)  
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Urine C&S (Urinary System)   Id bacteria in urine/ Cleanse external meatus with povidone-iodine or soap and water before, midstream specimen   Less than 100,000 colonies/ml   (blank)  
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Cystometrogram (Urinary System)   Test muscle tone/   Feeling of Pressure in bladder during test   Prep for Foley  
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Creatintine clearance (Urinary System)   Eval renal function/ 24* urine collection, Blood draw after 24* collection   1.67-2.5 ml/s   (blank)  
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Cystoscopy (Urinary System)   Viewed by cystoscope inserted into bladder/   Discomfort, POST: urine usually pink tinged   PRE: Bowel Prep, Force Fluids, Deep Breathe (Pain), NPO if sedated POST: Monitor volume/characteristics of urine, Check for ab distention, fever, urinary frequency, Pain = trauma, Admin: antimicrobial prophylaxis  
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Cystouretheogram (Urinary System)   Xray of bladder and urethra/ Catheter inserted into urethra , dye injected, patient voids, xrays taken during voiding   (blank)   (blank)  
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IVP [Intravenous Pyelogram] (Urinary System)   Xray of bladder, kidneys, ureters/ Xrays taken at intervals after dye injection   Burning, salty taste during injection   PRE: Bowel Prep, NPO midnight before, Check allergies to shellfish, iodine, eggs, chocolate, milk POST: more x-rays, check LOC (no edema, itch, wheezing, dyspnea)  
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Renal Scan (Urinary System)   Eval of kidneys/ radioactive isotope injected IV,radioactivity measured with counter   (blank)   PRE: Force Fluids  
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Ultrasound (Urinary System)   Images of renal system obtained through sound waves/ NONinvasive   (blank)   (blank)  
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Renal Biopsy (Urinary System)   Kidney tissue obtained/ Needle aspiration for Eval, Xray taken first, skin marked to indicate lower pole of kidney (fewer blood vessels) Position: Prone bent at diaphragm, Hold breathe during need insertion   (blank)   POST: apply pressure to site 20 min, pressure dressing, Position: flat in bed, bedrest 24*, PC: hematuria, hemorrhage  
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Schilling test (Urinary System)   Dx Vitamin b12 deficiency (pernicious anemia)/ Radioactive vitB12 admin   Normal= >10% of dose excreted in 24* Lower value= pernicious anemia   POST: vitamin b (cyancoblamin) IM for life  
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Gastric Aspirate (GI)   Aspiration of gastric contents to eval for abnormals/ NG tube into stomach, aspirate sent to lab will do Guaiac there also   4.5-7.5 pH blood absent   PRE: NPO, Histamine sometimes admin stimulate HCl acid POST: Fluids  
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Upper GI series-Barium Swallow (GI)   Determine patency and size of esophagus, and condition of gastric walls, patency of pyloric valve and rate of passage to small bowel /Admin Barium sulfate   Light colored stool after   PRE: NPO after midnight POST: Cleansing enema/ prevents impaction, Xrays repeated until all solution is expelled  
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Paracentesis (GI)   Dx exam of ascetic fluid and treatment of massive ascites resistant to other therapies/Needle aspiration of fluid in ab cavity, Done at bedside, Position: Semifowlers or sitting edge of bed   (blank)   PRE: EMPTY Bladder (Prevent accidental perforation) POST: VS, Shock, MD= Elevated temp or ab pain  
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Created by: jamilah