Laboratory Test

Result

reference range

Serum Creatinine

1 mg/dl (88.4 μmol/L)

0.5-1.1 mg/dL (44-97 μmol/L)

BUN

9 mg/dl. (3.2 mmol/L)

10-20 mg/dl. (3.6-7.1 mmol/L)

Sodium

136 mEq/L (136 mmol/L)

136 to 145 mEq/L (136 to 145 mmol/L)

Potassium

6.1 mEq/L (6.1 mmol/L)

3.5 to 5 mEq/L (3.5 to 5 mmol/L)

The nurse reviews the lab values.

What questions can the nurse ask the client based on the lab results? Select all that apply.

Have you experienced itching or hives?

Have you noticed the need to urinate less often?

Have you noticed that your skin is dry?

Have you experienced urgency to urinate?

Are you taking any supplements?

Do you use any salt substitutes?

Answer and Explanation

Correct Answer : B,D,E,F

B. Have you noticed the need to urinate less often? - Elevated serum creatinine and BUN levels can be indicative of decreased kidney function, which might result in decreased urine output.

D. Have you experienced urgency to urinate? - Abnormal electrolyte levels, such as high potassium (hyperkalemia), can affect bladder function and cause urinary urgency.

E. Are you taking any supplements? - High potassium levels can sometimes be related to potassium-containing supplements, so it's essential to inquire about any supplements the client may be taking.

F. Do you use any salt substitutes? - High potassium levels can be caused by the excessive use of salt substitutes, which often contain potassium chloride.

A. Have you experienced itching or hives? - While itching or hives can be associated with various conditions, these symptoms may not be directly related to the specific lab results mentioned.

C. Have you noticed that your skin is dry? - Dry skin is a non-specific symptom and may not be directly related to these lab results.

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Free Nursing Study Resources

Correct Answer is ["A","C","D","E","F"]

Explanation

Options A, C, D, E, and F may affect insulin requirements and should be considered in the client's care plan.

The home medications that may affect the amount of insulin needed by the client are:

A. Corticosteroids: Corticosteroids can increase blood glucose levels, which may require an adjustment in insulin dosage.

C. Oral contraceptives: Some oral contraceptives may affect insulin sensitivity, potentially requiring adjustments in insulin dosage.

D. St. John's Wort: St. John's Wort can impact the metabolism of insulin and may lead to fluctuations in blood glucose levels, necessitating adjustments in insulin dosing.

E. Fluconazole: Fluconazole may affect blood glucose levels and may require monitoring and potential adjustments in insulin dosing.

F. Epinephrine: Epinephrine can lead to increases in blood glucose levels, and insulin dosage may need to be adjusted.

B. Ibuprofen: Ibuprofen is not typically associated with significant effects on insulin or blood glucose levels.

A. The Insulin concentration B. The expiration date on the insulin vial C. The site for the insulin administration D. The dose of insulin drawn up in the syringe E. The insulin vial for color and clarity F. The type of insulin to be administered G. The history and physical with the diabetes diagnosis listed H. The sliding scale insulin lispro order.

Correct Answer is ["B","D","E","H"]

Explanation

The nurse should double-check the following with a second nurse when preparing to give 2 units of insulin lispro:

B. The expiration date on the insulin vial: This is important to ensure that the insulin is not expired and is safe for administration.

D. The dose of insulin drawn up in the syringe: Double-checking the dose is crucial to avoid administration errors.

E. The insulin vial for color and clarity: Checking for any abnormalities in the insulin's appearance, such as cloudiness or particles, is essential to ensure its integrity.

H. The sliding scale insulin lispro order: Verifying the order against what is being administered is crucial to ensure that the correct dose is given based on the client's blood glucose level.

The other options (A, C, F, and G) may be important in different contexts but are not specifically related to double-checking the administration of 2 units of insulin lispro at this moment.

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Laboratory Test	Result	reference range
Serum Creatinine	1 mg/dl (88.4 μmol/L)	0.5-1.1 mg/dL (44-97 μmol/L)
BUN	9 mg/dl. (3.2 mmol/L)	10-20 mg/dl. (3.6-7.1 mmol/L)
Sodium	136 mEq/L (136 mmol/L)	136 to 145 mEq/L (136 to 145 mmol/L)
Potassium	6.1 mEq/L (6.1 mmol/L)	3.5 to 5 mEq/L (3.5 to 5 mmol/L)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["A","C","D","E","F"]

Explanation

A nurse is caring for a client. Exhibits The nurse prepares to give 2 units of insulin lispro. What should the nurse double-check with a second nurse? Select all that apply.

Correct Answer is ["B","D","E","H"]

Explanation

The nurse is caring for a client who has been taking ibuprofen. Which finding is most important for the nurse report to the healthcare provider?

The nurse is providing instructions about a client's new medications. How should the nurse explain the purpose of probenecid, a uricosuric drug?

A client with Parkinson's disease who is taking carbidopa/levodopa reports the urine appears to be darker in color. Which action should the nurse take?

A client receives a new prescription for levothyroxine. Which statement made by client indicates to the nurse the education was effective?

A client taking atorvastatin develops an increased serum creatine phosphokinase (CK) level. The nurse should assess the client for the onset of which problem?

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A client with heart failure (HF) develops hyperaldosteronism and spironolactone is prescribed. Which instruction should the nurse include in this client's plan of care?