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) Avoiding alcohol and herbal remedies is a correct instruction because they can interact with warfarin and increase the risk of bleeding.

b) Stopping warfarin abruptly without healthcare provider guidance can be dangerous and increase the risk of thrombosis. Signs of bleeding should be reported promptly to the healthcare provider for appropriate management.

c) Being consistent with the intake of leafy greens is important to maintain a stable INR, as these foods contain vitamin K, which can interfere with warfarin.

d) Regular INR monitoring is essential to ensure that the client is within the therapeutic range and to make adjustments to the warfarin dosage if necessary.

A. The temperature is above 100.4 degrees Fahrenheit (38 degrees Celsius). B. The blood pressure is above 140 mm Hg systolic. C. Respiratory rate of 10 breaths per minute with an oxygen saturation level of 86%. D. The heart rate is above 90 beats per minute.

Correct Answer is C

Explanation

A) Elevated temperature is not a typical reason to withhold morphine unless there are other concerns, such as infection.

B) Elevated blood pressure alone is not a reason to withhold morphine, but it should be considered in the context of the overall clinical picture.

C) A respiratory rate of 10 breaths per minute with low oxygen saturation indicates respiratory depression, which is a significant concern and a reason to withhold morphine.

D) An elevated heart rate alone is not a reason to withhold morphine, but it should be considered in the context of the overall clinical picture.

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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 nurse is preparing discharge teaching for a client who will be going home on warfarin. Which of these client statements indicates the need for further instruction?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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