During a preoperative review of systems, the client reveals a history of renal disease. This finding suggests the need for which relevant preoperative diagnostic tests?
Serum glucose and a Complete Blood Count
Arterial blood gas and coagulation tests
Serum creatinine and a Basic Metabolic Panel
Chest X-ray and cardiac enzymes
The Correct Answer is C
A. Serum glucose and a Complete Blood Count: While a complete blood count (CBC) is useful in assessing overall health, serum glucose is less relevant in the context of renal disease. The focus should be on kidney function rather than glucose levels.
B. Arterial blood gas and coagulation tests: Arterial blood gas (ABG) and coagulation tests may be important for other conditions, but they are not specifically targeted to evaluate renal function or related preoperative risks in renal disease.
C. Serum creatinine and a Basic Metabolic Panel: This is the correct choice as serum creatinine is a key marker of kidney function, and a Basic Metabolic Panel (BMP) provides information on electrolyte levels and overall metabolic status, which are crucial in evaluating the impact of renal disease on surgery.
D. Chest X-ray and cardiac enzymes: These tests are more relevant for evaluating cardiac function and lung status rather than directly assessing kidney function, which is the primary concern in the context of renal disease.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Crush the medication and administer it through the tube: Crushing sustained-release medications can disrupt their intended release mechanism, leading to potential overdose or ineffective treatment.
B. Provide the medication orally for the client to swallow: This option is not suitable since the client has a gastrostomy tube, and oral administration is not appropriate.
C. Ask the healthcare provider to prescribe the medication as an elixir for tube administration: This is the correct approach, as an elixir form of the medication would be appropriate for administration through the gastrostomy tube without altering its release properties.
D. Dissolve the medication in water and administer it through the tube: Dissolving sustained-release tablets can compromise their intended release mechanism, which may lead to complications.
Correct Answer is ["A","C","D"]
Explanation
A. Record intake and output: This task is within the UAP's scope of practice as it involves documenting fluid balance.
B. Assess bowel sounds: This task requires clinical judgment and assessment skills and should be performed by a licensed nurse.
C. Obtain routine vital signs: This is appropriate for the UAP to perform, as it involves routine measurements that do not require clinical assessment.
D. Document the presence of edema: The UAP can document observable findings such as edema, which is within their scope of practice.
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