A nurse is providing teaching to a female client who is taking conjugated equine estrogens (Premarin). Which of the following clients are contraindicated for conjugated equine estrogens (Premarin)? (Select All That Apply).

A client with a history of thromboembolic disease,

A client within story of hypertension

A client with history of depression

A client with atypical vaginal bleeding that is not diagnose

Answer and Explanation

Correct Answer : A,D

A.   A client with a history of thromboembolic disease: Estrogen therapy is contraindicated in clients with a history of thromboembolic disease due to the increased risk of blood clots.
B.   A client with a history of hypertension: Hypertension is a relative contraindication, but it may still be prescribed with caution.
C.   A client with a history of depression: Depression is not a contraindication to estrogen therapy.
D.   A client with atypical vaginal bleeding that is not diagnosed: Unexplained vaginal bleeding should be investigated before administering estrogen therapy.

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Correct Answer is ["A","B"]

Explanation

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.

A. Blood potassium 3.9 mEq/L B. Urine output 500 ml in 5 hours C. Blood potassium 8 mEq D. Urine output 200 mL in 4 hours

Correct Answer is C

Explanation

A. A blood potassium level of 3.9 mEq/L is normal and does not require intervention.
B. Urine output of 500 mL in 5 hours is not concerning and is within the expected range.
C. A blood potassium level of 8 mEq/L is dangerously high, indicating hyperkalemia, which can lead to life-threatening arrhythmias.
D. Urine output of 200 mL in 4 hours could be a concern for dehydration or renal issues, but it is not directly related to spironolactone use.

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A nurse is providing teaching to a female client who is taking conjugated equine estrogens (Premarin). Which of the following clients are contraindicated for conjugated equine estrogens (Premarin)? (Select All That Apply).

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Naxlex Comprehensive Predictor Exams

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

Correct Answer is ["A","B"]

Explanation

A nurse is monitoring a client who is receiving spironolactone (Aldactone). Which of the following findings should the nurse report to the provider?

Correct Answer is C

Explanation

A nurse is caring for a client who is prescribed with cimetidine (Tagamet HB). The nurse understands that complications of cimetidine (Tagamel HB) include: (Select All That Apply.).

A nurse is providing teaching to a female client who is taking conjugated equine estrogens (Premarin). Which of the following clients are contraindicated for conjugated equine estrogens (Premarin)? (Select All That Apply).

A client is being admitted for hypernatremia. A nurse is preparing to administer 0.45% sodium chloride 500 mL IV to the client over 2 hours. The nurse should set the IV pump to deliver how many mL/hr?

A nurse is preparing an in-service about potassium-wasting diuretics. Which of the following medications is a diuretic has a complication of hypokalemia?

A nurse is providing information to a client who has a new prescription for hydrochlorothiazide (Hydro Diuril). Which of the following information should the nurse include?

A client is prescribed cimetidine 200 milligrams (mg) PO twice daily. It is available as an oral liquid of 100 mg per teaspoon. How many teaspoons should the nurse instruct the client to take per dose?

A client has been newly diagnosed with breast cancer. The client has been prescribed ondansetron (Zofran), but the client is unsure of the indication for this medication. What is your response as a nurse?

The nurse is preparing to administer hydration via an intravenous route to a client. The nurse understands that the patient needs an isotonic solution. Which of the following options is considered an isotonic solution?