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) Allopurinol inhibits the synthesis of uric acid, preventing its formation.

B) Colchicine is typically used for gout flares and reduces inflammation but is not usually taken concurrently with probenecid and allopurinol. NSAIDs or corticosteroids are often used for pain control during acute attacks.

C) Colchicine is known for its anti-inflammatory properties but does not prevent uric acid synthesis or facilitate its elimination.

D) Probenecid increases the excretion of uric acid in the urine.

A. The beta-blocker can mask the symptoms of hypoglycemia. B. Using the two agents together increases the risk of ketoacidosis. C. Propranolol increases insulin requirements because of receptor blocking. D. The beta-blocker can cause insulin resistance.

Correct Answer is B

Explanation

A) While beta-blockers can mask some symptoms of hypoglycemia, the major concern in this scenario is ketoacidosis.

B) Beta-blockers, like propranolol, can mask the typical symptoms of hypoglycemia (tachycardia, palpitations), leading to a delayed recognition of low blood sugar levels.

C) Propranolol may enhance the hypoglycemic effect of insulin, but the primary concern in this case is ketoacidosis.

D) Beta-blockers can indeed cause insulin resistance, but the primary concern in this context is the risk of ketoacidosis.

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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 is suffering from an acute gout attack wants to know how colchicine differs from probenecid and allopurinol in its actions. Which of these statements shows the need for further teaching regarding the purpose and use of these medications?

Correct Answer is B

Explanation

A client with type 1 diabetes who takes insulin reports taking propranolol for hypertension. Why is the nurse concerned?

Correct Answer is B

Explanation

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