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 C

Explanation

Choice A rationale

Administering a narcotic reversal drug is not the first action the nurse should take. While it’s true that the client’s symptoms could be due to opioid overdose, the nurse should first confirm the cause of the symptoms. In this case, the nurse finds four patches on the client’s body, which is unusual and could lead to an overdose. Therefore, the first action should be to remove the patches to prevent further absorption of the drug.

Choice B rationale

Applying an oxygen face mask might be necessary if the client is having difficulty breathing. However, this would not address the underlying problem if the client is experiencing an overdose from the morphine sulfate patches. The nurse should first remove the patches to stop further drug absorption.

Choice C rationale

The nurse finds four patches on the client’s body. This is unusual and could lead to an overdose. Therefore, the nurse’s first action should be to remove the patches to prevent further absorption of the drug. After removing the patches, the nurse can assess the client’s condition and provide further interventions as needed.

Choice D rationale

Monitoring the client’s blood pressure is an important nursing intervention, but it should not be the first action in this situation. The nurse has already found a potential cause for the client’s symptoms (i.e., the four morphine sulfate patches). Therefore, the first action should be to address this problem by removing the patches.

Correct Answer is ["200"]

Explanation

The correct answer is 200 mL/h.

Step 1: The client has been prescribed ciprofloxacin 400 mg intravenously (IV) every 12 hours to be infused over an hour.

Step 2: The IV bag contains ciprofloxacin 400 mg in dextrose 5% in water (D5W) 200 mL12. Step 3: To calculate the infusion rate, the nurse should use the formula: Infusion rate (mL/hr)

= Volume (mL) / Time (hr)3.

Step 4: In this case, the volume is 200 mL and the time is 1 hour. Step 5: Therefore, Infusion rate (mL/hr) = 200 mL ÷ 1 hr.

Step 6: Infusion rate (mL/hr) = 200 mL/hr.

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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

Correct Answer is C

Explanation

A client has been prescribed ciprofloxacin 400 mg intravenously (IV) every 12 hours to be infused over an hour. The IV bag contains ciprofloxacin 400 mg in dextrose 5% in water (D5W) 200 mL. How many mL/hour should the nurse program the infusion pump to deliver? (Enter numerical value only.)

Correct Answer is ["200"]

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?