A nurse is concerned about renal function in an 84-year-old client who is taking several medications. What is a priority for the nurse to assess?

Serum creatinine

Troponin levels

Specific gravity

Sodium levels

Answer and Explanation

The Correct Answer is C

A) Serum creatinine is an important marker of renal function, but specific gravity is more directly related to urine concentration and kidney function.

B) Troponin levels are primarily associated with cardiac function, not renal function.

C) Assessing specific gravity helps evaluate the kidney's ability to concentrate urine and is a valuable indicator of renal function.

D) Sodium levels can be important in assessing electrolyte balance but are not the primary indicator of renal function.

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Correct Answer is B

Explanation

a) Vitamin D levels may be affected by long-term glucocorticoid use, but the described symptoms are more indicative of potential glucocorticoid-related side effects, such as Cushingoid features, which warrant liver function tests.

b) Liver function tests are appropriate to assess the impact of long-term glucocorticoid use on the liver, as these medications can affect liver function.

c) Serum electrolytes are important to monitor, but the specific symptoms mentioned (full cheeks, hump of fat) are not typically associated with electrolyte imbalances.

d) A tuberculin skin test is unrelated to the observed symptoms and is not typically ordered based on the physical features described.

A. "I should monitor for Cushing's symptoms during the withdrawal process." B. "Once I am off of the steroids, I should never take them again." C. "I should not try to taper off the medication without consulting my provider." D. "I should reduce the dose by half each day until I am at 5mg, then I can stop the medication."

Correct Answer is C

Explanation

a) Monitoring for Cushing's symptoms is important, but it is not a statement indicating a good understanding of the withdrawal process from glucocorticoids.

b) Telling the client to never take steroids again is an overly generalized statement and does not reflect a nuanced understanding of the medication.

c) Not attempting to taper off the medication without consulting the provider is the correct approach. Abrupt discontinuation can lead to adrenal insufficiency, and the tapering schedule should be individualized.

d) Reducing the dose by half each day without proper guidance may result in withdrawal symptoms and is not a recommended strategy.

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A nurse is concerned about renal function in an 84-year-old client who is taking several medications. What is a priority for the nurse to assess?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who has been taking a glucocorticoid for several months arrives in the clinic. The nurse notes the client's cheeks appear full, and a prominent hump of fat is present on the upper back. The nurse will ask the provider to order which of these laboratory tests?

Correct Answer is B

Explanation

A nurse is talking to a client who wants to stop taking glucocorticoids after taking them for 3 months. Which statement by the client indicates a good understanding of the teaching about withdrawal?

Correct Answer is C

Explanation

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