A nurse is caring for a client who is taking allopurinol. The nurse should monitor which of the following laboratory findings to determine the effectiveness of the medication?
Serum albumin
Magnesium level
Serum chloride
Uric acid level
The Correct Answer is D
A. Serum albumin: Albumin levels reflect nutritional status and liver function, not the effectiveness of allopurinol. Monitoring albumin is not relevant for assessing the drug’s impact on uric acid.
B. Magnesium level: Magnesium levels are not affected by allopurinol and do not indicate therapeutic effectiveness. Routine monitoring of magnesium is not necessary for clients taking this medication.
C. Serum chloride: Chloride is an electrolyte involved in acid-base balance and does not reflect allopurinol efficacy. Changes in chloride levels are unrelated to uric acid management.
D. Uric acid level: Allopurinol is a xanthine oxidase inhibitor that reduces uric acid production. Monitoring serum uric acid levels allows the nurse to determine whether the medication effectively lowers uric acid and helps prevent gout flares or uric acid nephropathy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Set up the sterile field 7.6 cm (3 in) below waist level: Sterile fields should be positioned at or above waist level to maintain sterility. Setting up below waist level increases the risk of contamination from accidental contact or spills.
B. Hold the bottle of sterile solution with the palm over the label while pouring: Covering the label with the palm prevents the solution from dripping onto the label and contaminating it. This ensures that the exterior of the bottle remains clean while maintaining sterility of the fluid being poured.
C. Place the sterile items within 1 cm (0.4 in) of the edge of the sterile border: The outer 1–2.5 cm (approximately 0.4–1 in) of a sterile field is considered nonsterile. Placing items too close to the edge risks contamination, so sterile items should be kept well within the borders.
D. Place the lid of a bottle of sterile solution within the sterile field: The inside of the lid is sterile only while in the upright position on the bottle. Placing it on the sterile field exposes it to potential contamination and is not recommended practice.
Correct Answer is C
Explanation
A. A client who had an emergency appendectomy: While coughing can cause some discomfort at the abdominal incision site, it generally does not pose a high risk of serious complications if the client uses proper splinting techniques.
B. A client who had a vaginal hysterectomy: Coughing may cause mild discomfort or stress on the pelvic floor, but it is not typically associated with significant risk if the client follows postoperative instructions and uses support as needed.
C. A client who had a thyroidectomy: Coughing after a thyroidectomy can place stress on the surgical site in the neck, increasing the risk of bleeding, airway compromise, or wound dehiscence. This makes coughing a particular concern for immediate postoperative safety and monitoring.
D. A client who had cataract removal: Coughing does not pose a risk to the eye or surgical site following cataract surgery. Clients may be advised to avoid straining, but coughing is generally safe and not a priority concern.
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