The nurse will instruct a client about a blood test specific for heart failure which is:
1. BNP
2. CBC
3. LDH
4. PKU
Correct Answer: 1
Rationale 1: The specific blood test to detect and guide treatment for heart failure is the BNP test. B-type natriuretic peptide is secreted primarily by the left ventricle in response to increased ventricular volume and pressure.
Rationale 2: A CBC is a complete blood count which includes hemoglobin and hematocrit measurements, erythrocyte (red blood cells) count, leukocyte (white blood cell) count, red blood cell indices, and a differential white cell count.
Rationale 3: This test measures the amount of the enzyme lactic dehydrogenase in the body.
Rationale 4: This is a test to assess for phenylketonuria in the newborn.
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The only treatment alternative left for a patient diagnosed with advanced cancer is a rare, highly experimental bone marrow transfusion with a 10% success rate. The insurance company refuses to authorize payment for the $200,000 procedure, arguing that the money could be better spent providing well-baby screening for 2,000 residents in the service area. What does this decision by the insurance company reflect?
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A hospital is an example of a/an ____________________ care facility.
Fill in the blank(s) with the appropriate word(s).