A client with chronic kidney disease (CKD) is receiving calcium acetate 667 mg PO. A decrease in which blood value indicates to the nurse that the medication is having the desired effect?

Calcium.

Potassium.

Phosphate.

pH.

Answer and Explanation

The Correct Answer is C

Choice A reason: Calcium acetate is used to bind phosphate in the gastrointestinal tract to reduce phosphate absorption, which is often elevated in clients with CKD. A decrease in serum calcium is not the intended effect of this medication.

Choice B reason: Potassium levels are not directly affected by calcium acetate. This medication specifically targets phosphate binding.

Choice C reason: A decrease in phosphate levels indicates that calcium acetate is effectively binding phosphate and reducing its absorption from the diet. This is the desired effect, as elevated phosphate levels can lead to complications in CKD.

Choice D reason: The pH of the blood is not directly influenced by calcium acetate. The primary purpose of this medication is to manage phosphate levels, not to alter blood pH.

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Correct Answer is ["100"]

Explanation

First, convert the client's weight from kilograms to pounds:
- 1 kg = 2.2 lbs
- Step 1: 90 kg × 2.2 lbs/kg = 198 lbs
Since the client weighs less than 265.5 pounds, the protocol specifies cefazolin 2 grams/100 mL over 1 hour.
Determine the flow rate in mL/hr:
- The total volume to be infused is 100 mL.
- The infusion time is 1 hour.
- Step 2: 100 mL ÷ 1 hour = 100 mL/hr

Therefore, the nurse should program the pump to deliver 100 mL/hr.

A. Consume tyramine-free foods while taking the medicine. B. Be aware that difficulty sleeping and weight loss may occur. C. Notify the healthcare provider of any significant side effects.

Correct Answer is B

Explanation

Choice A reason: While consuming tyramine-free foods is crucial for clients taking monoamine oxidase inhibitors (MAOIs), it is not relevant for bupropion, which does not have the same dietary restrictions.

Choice B reason: Difficulty sleeping and weight loss are common side effects of bupropion. It is important for clients to be aware of these potential issues so they can manage them appropriately and report any significant concerns to their healthcare provider.

Choice C reason: While it is always good practice to notify the healthcare provider of significant side effects, this is a general instruction that does not specifically address the common side effects of bupropion, which the client should be particularly aware of.

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A client with chronic kidney disease (CKD) is receiving calcium acetate 667 mg PO. A decrease in which blood value indicates to the nurse that the medication is having the desired effect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["100"]

Explanation

A client with a history of smoking cigarettes for many years arrives at the clinic and expresses a desire to stop smoking. The client receives a prescription for bupropion to reduce nicotine cravings. Which information should the nurse include in the discharge teaching?

Correct Answer is B

Explanation

When the nurse discontinues a 24-hour postoperative client's patient-controlled analgesia (PCA) pump, the client asks to go to the hospital's smoking area to smoke a cigarette. Which response should the nurse provide?

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