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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?

A.

Serum creatinine

B.

Troponin levels

C.

Specific gravity

D.

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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Related Questions

Correct Answer is D

Explanation

a) The statement about rotating acetaminophen with ibuprofen for pain control demonstrates an understanding of the principles of multimodal pain management and is appropriate.

b) The statement about taking two oxycodone-acetaminophen tablets if pain persists after a certain time frame is appropriate and reflects awareness of appropriate pain management strategies.

c) The statement about the maximum daily dose of acetaminophen and its potential to cause liver problems is accurate and indicates good knowledge.

d) The statement about acetaminophen masking infection-related fevers is incorrect. While acetaminophen can reduce fever, it does not mask the presence of an infection. This statement indicates a need for further teaching.

Correct Answer is ["A","C","D"]

Explanation

a. This statement warrants further education because enteric-coated aspirin is specifically designed to be absorbed in the small intestine and should not be chewed. Chewing the enteric coated aspirin can interfere with its protective coating and may lead to stomach irritation.

b. This statement is correct. Taking the aspirin with food can help minimize stomach irritation.

c. This statement warrants further education. Aspirin, even in low doses, should not be given to young children without consulting a healthcare provider due to the risk of Reye's syndrome.

d. This statement warrants further education. Ringing in the ears (tinnitus) is not a normal side effect of aspirin, and persistent symptoms should be reported to the healthcare provider.

e. This statement is correct. Black, tarry stools can indicate gastrointestinal bleeding, and the healthcare provider should be notified promptly.

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