A nurse is reviewing the laboratory results of a client who has rheumatoid arthritis and a prescription for cyclosporine.
The nurse should report which of the following laboratory values to the provider?
Creatinine.5 mg/dL.
Potassium 4.2 mEq/L.
BUN 18 mg/dL.
Sodium 139 mEq/L.
The Correct Answer is A
Cyclosporine is an immunosuppressant medication that can have nephrotoxic effects.
A creatinine level of.5 mg/dL is above the normal range and may indicate impaired kidney function.
The nurse should report this value to the provider for further evaluation.
Choice B is wrong because Potassium 4.2 mEq/L, is not the correct answer because it falls within the normal range for potassium levels in the blood.
Choice C is wrong because BUN 18 mg/dL, is not the correct answer because it falls within the normal range for blood urea nitrogen levels.
Choice D is wrong because Sodium 139 mEq/L, is not the correct answer because it falls within the normal range for sodium levels in the blood.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Improved cognition should indicate to the nurse that the treatment with a hypertonic solution for hyponatremia is effective.
Hyponatremia can cause confusion and other neurological symptoms, so an improvement in cognition would suggest that the treatment is working to correct the electrolyte imbalance.
Choice A is wrong because Chvostek’s sign is a clinical sign of hypocalcemia, not hyponatremia.
Choice B is wrong because while vomiting can be a symptom of hyponatremia, a decrease in vomiting alone does not necessarily indicate that the treatment is effective.
Choice C is wrong because while hyponatremia can cause cardiac arrhythmias, the absence of arrhythmias alone does not necessarily indicate that the treatment is effective.
Correct Answer is ["B","C","D"]
Explanation
These are all risk factors for an adverse drug reaction in older adults.
Decreased renal function is a disease-related factor that can increase the risk of adverse drug reactions.
Multiple health problems or complex comorbidity can also increase the risk of adverse drug reactions.
Polypharmacy is a medication-related factor that can increase the risk of adverse drug reactions.
Choice A is wrong because Decreased percentage of body fat, is not an answer because it is not mentioned as a risk factor for adverse drug reactions in older adults in the search results.
Choice E, Increased rate of absorption, is not an answer because it is not mentioned as a risk factor for adverse drug reactions in older adults in the search results.
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