A patient who is taking albendazole reports experiencing fatigue, nausea, and dark urine. The nurse observes a yellowing of the patient’s skin and sclera.
Which laboratory result should the nurse review?

Thyroid function test.

Liver function test.

Renal function panel.

Basic metabolic panel.

Answer and Explanation

The Correct Answer is B

Choice A rationale

While a thyroid function test could be relevant in some cases, it is not the most pertinent in this situation. The symptoms described by the patient do not suggest a thyroid issue.

Choice B rationale

The symptoms described by the patient, such as fatigue, nausea, dark urine, and yellowing of the skin and sclera, are indicative of liver dysfunction. Albendazole is primarily metabolized in the liver, and its use can cause liver damage in some cases. Therefore, a liver function test would be the most appropriate laboratory result to review.

Choice C rationale

While a renal function panel could be relevant in some cases, it is not the most pertinent in this situation. The symptoms described by the patient do not suggest a kidney issue.

Choice D rationale

A basic metabolic panel could provide useful information about various aspects of the patient’s health, but it is not the most relevant test given the patient’s symptoms and medication.

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Correct Answer is ["42"]

Explanation

To calculate the infusion rate in gtt/min, we first need to calculate the infusion rate in mL/hr. The formula for this is:

Step 1: Calculate the infusion rate in mL/hr

Infusion rate (mL/hr)=Total time (hr)Total volume (mL) Substituting the given values: Infusion rate (mL/hr)=2 hr mL=250 mL/hr

Step 2: Convert the infusion rate from mL/hr to gtt/min Infusion rate (gtt/min)=60 min/hrInfusion rate (mL/hr)×Drop factor (gtt/mL).

Substituting the given values: Infusion rate (gtt/min)=60 min/hr mL/hr×10 gtt/mL ≈42 gtt/min Therefore, the nurse should regulate the infusion to approximately 42 gtt/min.

A. The client underwent a coronary artery bypass procedure in 1995. B. The client had a colonoscopy performed for routine screening six months ago. C. The client suffered from depression following the death of their spouse in 1999. D. The client has been taking digoxin and furosemide daily since 1996.

Correct Answer is D

Explanation

Choice A rationale

While a coronary artery bypass procedure is a significant event in a patient’s medical history, it occurred in 1995, which is quite some time ago. Therefore, it may not be the most significant piece of data when planning this client’s care, given their current signs and symptoms.

Choice B rationale

A colonoscopy performed for routine screening six months ago is unlikely to be related to the client’s current symptoms of nausea, vomiting, and anorexia. Therefore, this choice is not the most significant piece of data when planning this client’s care.

Choice C rationale

Depression following the death of a spouse can significantly impact a person’s mental health. However, this event occurred in 1999, and while it may contribute to the client’s overall health status, it is not likely to be the most significant piece of data for planning care based on the client’s current symptoms.

Choice D rationale

The client has been taking digoxin and furosemide daily since 19962. Both of these medications are used to treat heart conditions. Digoxin strengthens the heart’s contractions, while furosemide is a diuretic that helps reduce fluid buildup. Given the client’s symptoms of nausea, vomiting, and anorexia, and their diagnosis of heart failure, this information is crucial. These symptoms could indicate a worsening of heart failure or side effects of the medication, which would significantly influence the plan of care.

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A patient who is taking albendazole reports experiencing fatigue, nausea, and dark urine. The nurse observes a yellowing of the patient’s skin and sclera.Which laboratory result should the nurse review?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient is receiving a secondary infusion of azithromycin 500 mg in 500 mL of normal saline (NS) to be infused over 2 hours. The intravenous (IV) administration set delivers 10 gtt/mL. How many gtt/min should the nurse regulate the infusion?

Correct Answer is ["42"]

Explanation

An elderly client with heart failure arrives at the emergency room due to nausea, vomiting, and anorexia.Based on the client’s signs and symptoms, which piece of data from the medical history is most significant when planning this client’s care?

Correct Answer is D

Explanation

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A patient who is taking albendazole reports experiencing fatigue, nausea, and dark urine. The nurse observes a yellowing of the patient’s skin and sclera.
Which laboratory result should the nurse review?