The client with chronic renal failure is scheduled for hemodialysis at 9 am. They are scheduled to receive oral daily medications. Which statement best describes when the nurse should administer the medications?
During dialysis
Give as scheduled
After returning from dialysis
Hold the medications for today and restart tomorrow
The Correct Answer is C
A. During dialysis: Some drugs can bind to the dialysis membrane or be removed unpredictably.
B. Give as scheduled: If given before dialysis, the drugs may be removed from circulation.
C. After returning from dialysis: Dialysis removes medications from the bloodstream. Giving medications before dialysis may result in drug loss. Oral medications should be given after dialysis to ensure proper absorption and effectiveness.
D. Hold the medications for today and restart tomorrow: Unnecessary, as the client needs their medications post-dialysis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Request a neurological consult: This is likely a metabolic issue (hypocalcemia), not a neurological disorder.
B. Have another nurse take their blood pressure: Rechecking BP does not address the underlying cause of the abnormal movement.
C. Review the client's lab values: Carpopedal spasm (Trousseau's sign) during BP measurement suggests hypocalcemia. The nurse should check serum calcium levels to confirm.
D. Call the healthcare provider for orders: The nurse should first review lab results to provide accurate data when notifying the provider.
Correct Answer is B
Explanation
A. Respiratory Alkalosis: Would have low PaCO2 (<35 mmHg), not high.
B. Partially Compensated Metabolic Alkalosis: The pH is high (alkalosis), and the HCO3 is elevated, which indicates metabolic alkalosis. The PaCO2 is high, meaning the lungs are attempting to compensate by retaining CO₂ to lower the pH. Because the pH is still abnormal, this is partial compensation.
C. Metabolic Acidosis: Would have low pH and low HCO3 (<22 mEq/L).
D. Fully Compensated Respiratory Acidosis: The primary problem is metabolic, not respiratory.
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