A client with an infection is being treated with vancomycin. The nurse providing care reviews the client's laboratory reports and notes that the client's blood urea nitrogen (BUN) and serum creatinine levels are newly elevated. What would be the appropriate nursing intervention?

Instruct the client to notify the nurse if they have any tingling in their toes.

Interpret the peak and trough levels.

Assess the client's urine output.

Consult the provider about the need for a less nephrotoxic medication.

Answer and Explanation

The Correct Answer is B

a) Tingling in the toes may be indicative of peripheral neuropathy but is not specifically related to elevated BUN and serum creatinine levels.

b) Elevated BUN and serum creatinine levels suggest potential renal impairment, and interpreting peak and trough levels of vancomycin is essential to assess the drug's impact on renal function.

c) Assessing urine output is important in evaluating renal function, but the specific action related to the elevated BUN and creatinine levels is to interpret vancomycin levels.

d) Consulting the provider about the need for a less nephrotoxic medication may be a consideration, but understanding the impact of vancomycin on renal function through peak and trough levels is a crucial initial step.

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Correct Answer is A

Explanation

A) Antibiotics can interact with warfarin, potentially affecting the INR, so dose adjustments may be necessary.

B) Pink urine is not an expected side effect of warfarin; this statement is inaccurate.

C) Eating spinach to increase iron count is not a relevant action related to warfarin or INR levels.

D) Warfarin interacts with many substances, including herbal remedies and aspirin. Notifying the provider before taking new medications or supplements is crucial for proper management.

A. Approximately 15 to 30 minutes before each meal B. After meals and at bedtime C. Once-daily at the same time every day D. With meals

Correct Answer is C

Explanation

a) Insulin glargine is a long-acting basal insulin and is not typically administered before each meal.

b) Administering insulin glargine after meals is not the standard practice. It is given once daily to provide a continuous basal insulin level.

c) Insulin glargine is a once-daily basal insulin that is usually administered at the same time every day to maintain a consistent level of insulin in the body.

d) Unlike short-acting insulins, insulin glargine is not given with meals but provides a basal level of insulin throughout the day.

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A client with an infection is being treated with vancomycin. The nurse providing care reviews the client's laboratory reports and notes that the client's blood urea nitrogen (BUN) and serum creatinine levels are newly elevated. What would be the appropriate nursing intervention?

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Naxlex Comprehensive Predictor Exams

Which statement by a client indicates an understanding of self-care precautions when taking warfarin?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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