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.

Nursing Test Bank

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Free Nursing Study Resources

Correct Answer is B

Explanation

A. Breastfeeding is not recommended while taking this medication:

While it's important to avoid breastfeeding while taking isotretinoin due to potential risks to the infant, the priority in this scenario is preventing exposure to the medication during pregnancy.

The most important information for the nurse to provide to a young adult female client planning to become pregnant while taking isotretinoin for cystic acne is:

B. Discontinue this medication one month before attempting to conceive.

Explanation: Isotretinoin (commonly known as Accutane) is a teratogenic medication, which means it can cause severe birth defects if taken during pregnancy. Therefore, it is crucial for the client to discontinue this medication well before attempting to conceive. The recommended time frame to wait after stopping isotretinoin before attempting conception varies but is generally at least one month. The specific duration should be discussed with the healthcare provider.

C. Do not take multiple vitamins that contain vitamin A while taking this drug:

Avoiding excessive vitamin A intake is important to prevent vitamin A toxicity, but it is not the most critical piece of information for a client planning to become pregnant while on isotretinoin.

D. Baseline liver function results must be obtained during therapy:

Monitoring liver function is important during isotretinoin therapy, but the priority in this scenario is preventing fetal exposure to the medication by discontinuing it before attempting pregnancy.

Correct Answer is ["200"]

Explanation

To calculate the mL/hr for the ciprofloxacin infusion, you can use the following formula:

ML/hr = Volume (mL)/Time (hr)

In this case:

Volume (mL) = 200 mL (the volume of the IV bag)

Time (hr) = 1 hour (the duration of the infusion)

So, the mL/hr would be:

ML/hr = 200 mL/ 1 hr = 200 mL/hr

Therefore, the nurse should program the infusion pump to deliver 200 mL/hr for the ciprofloxacin infusion.

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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

A young adult female client who is planning to become pregnant asks the nurse if she can continue taking isotretinoin for cystic acne. Which information is most important for the nurse to provide this client?

Correct Answer is B

Explanation

A client receives a prescription for 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 (DW) 200 mL. The nurse should program the infusion pump to deliver how many mL/hr? (Enter numerical value only.)

Correct Answer is ["200"]

Explanation

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Exhibits Review H and P, nurse's notes, laboratory results, flow sheet, and orders. Click to mark whether the assessment finding represents a therapeutic result of the sodium bicarbonate administered, a non-therapeutic side-effect, or an unrelated finding.

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