The nurse is administering SUBQ enoxaparin to a client following knee replacement surgery to prevent a deep vein thrombosis. Which laboratory result requires immediate action by the nurse?

Reference Range:

Hematocrit [42% to 52% (0.42 to 0.52 volume fraction)]

Platelets [150,000 to 400,000/mm3 (150 to 400 x 10^9/L)]

Creatinine [0.5 to 1.1 mg/dL (44 to 97 μmol/L)]

Blood Urea Nitrogen (BUN) [10 to 20 mg/dL (3.6 to 7.1 mmol/L)]

Platelet count of 100,000/mm3 (100 x 10^9/L).

Serum creatinine 1.0 mg/dL (88.4 μmol/L).

Blood urea nitrogen (BUN) 20 mg/dL (7.1 mmol/L).

Hematocrit 45% (0.45 volume fraction).

Answer and Explanation

The Correct Answer is A

A. A platelet count of 100,000/mm3 indicates thrombocytopenia, which increases the risk of bleeding with enoxaparin and requires immediate action.
B. A serum creatinine level of 1.0 mg/dL is within the normal range and does not require immediate action.
C. A BUN level of 20 mg/dL is at the upper end of the normal range but does not typically require immediate action unless accompanied by other symptoms.
D. A hematocrit level of 45% is within the normal range and does not require immediate action.

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Correct Answer is B

Explanation

A. Reducing fluid intake is not necessary for managing urinary retention with tamsulosin and could exacerbate symptoms.
B. Tamsulosin can cause orthostatic hypotension, so it is important to advise the client to stand and sit up slowly to prevent dizziness and falls.
C. The time of day the medication is taken is less critical compared to managing side effects related to blood pressure changes.
D. Tamsulosin is typically taken once daily, not on a twice-a-week schedule.

A. Breastfeeding is not recommended while taking this medication. B. Do not take multiple vitamins that contain vitamin A while taking this drug. C. Baseline liver function results must be obtained during therapy. D. Discontinue this medication one month before attempting to conceive.

Correct Answer is D

Explanation

A. While breastfeeding is not recommended during isotretinoin therapy, the most pressing concern for pregnancy is to discontinue the medication before conception.
B. Isotretinoin can be harmful if excessive vitamin A is taken, but the critical issue is to stop the medication before pregnancy.
C. Monitoring liver function is important during isotretinoin therapy but does not directly address the pregnancy-related risk.
D. Isotretinoin is highly teratogenic, so it is crucial to discontinue the medication at least one month before attempting to conceive to avoid potential birth defects.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is receiving tamsulosin, an alpha-adrenergic blocking agent, for the management of urinary retention due to benign prostatic hyperplasia (BPH). Which instruction is most important for the nurse to provide?

Correct Answer is B

Explanation

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 D

Explanation

A client with cystitis receives a prescription for phenazopyridine. Which information should the nurse explain to the client about its therapeutic effect?

The nurse is planning discharge teaching for a client with type 2 diabetes mellitus who has a new prescription for insulin glargine. Which action should the nurse plan to include in the discharge teaching?

Exhibits Review H and P, nurse's notes, laboratory values, flow sheet, and prescriptions. Click to mark whether the assessment finding represents a therapeutic result of the mannitol administered, a non-therapeutic side effect, or an unrelated finding. Each row must have one option selected.

An older client with heart failure (HF), coronary artery disease (CAD), and hypertension (HTN), is receiving these daily prescriptions: atenolol, furosemide, and enalapril. Which assessments should the nurse include in evaluating the effectiveness of the medications? (Select all that apply.)

A client with multiple sclerosis starts a new prescription, baclofen, to control muscle spasticity. Three days later, the client calls the clinic nurse and reports feeling fatigued and dizzy. Which instruction should the nurse provide?

Prior to administering an oral dose of methylprednisolone, the nurse determines the client's serum total calcium level is 5.5 mg/dL (1.375 mmol/L). What action is most important for the nurse to take?

The nurse is providing discharge instructions for a client with metastatic cancer who is prescribed morphine for bone pain. Which information from the client indicates to the nurse an understanding of the medication?

Exhibits Choose the most likely options for the information missing from the statement(s) by selecting from the lists of options provided. The nurse should expect for the insulin glargine to start working in dropdown and to continue working for dropdown