A nurse is caring for a patient with kidney dysfunction. The nurse understands that kidney dysfunction can lead to an increase in the duration and intensity of a medication's response. Which lab tests should the nurse monitor? Select all that apply
Blood urea nitrogen (BUN)
Creatinine
Lipid panel
Blood glucose
Correct Answer : A,B
A. BUN is a waste product of protein metabolism that is excreted by the kidneys. Elevated BUN levels can indicate impaired kidney function or kidney dysfunction. Since kidney dysfunction can affect the elimination of waste products, monitoring BUN is essential to assess the kidney's ability to filter and excrete waste.
B. Creatinine is a waste product of muscle metabolism that is filtered out by the kidneys. It is one of the most reliable indicators of kidney function. When kidney function is impaired, creatinine levels rise in the blood because the kidneys are unable to excrete it efficiently.
C. Lipid panel: This is unrelated to the metabolism of medications.
D. Blood glucose: Blood glucose levels are important for diabetes management but are not directly impacted by kidney dysfunction in relation to medication response.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. 0.9% Sodium chloride (normal saline) is an isotonic solution, meaning it has a similar osmolality to the blood and will not cause fluid shifts into or out of cells.
B. This is a hypotonic solution, which has a lower osmolality than blood and can cause water to move into cells, potentially leading to cell swelling.
C. This solution is considered isotonic, but it has dextrose, which is metabolized quickly in the body, potentially making the solution hypotonic after glucose is used.
D. This is incorrect, as 0.9% Sodium Chloride is an isotonic solution.
Correct Answer is ["A","D"]
Explanation
A. "This medication is also used to treat male pattern baldness.": Sildenafil is not indicated for treating male pattern baldness; it is used for erectile dysfunction.
B. "Complications of this medication are priapism, sudden hearing loss, and myocardial infarction.": This is correct, as sildenafil can cause these serious side effects.
C. "You should take this medication 30 minutes to 4 hours before sexual activity.": This is correct, as sildenafil is typically taken within this time frame.
D. "A complication of this medication is incontinence.": Incontinence is not a known complication of sildenafil use.
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