The nurse is caring for an older adult who reports severe chronic pain. To best assess age- related physiologic changes that could influence plans for initiating an appropriate drug regimen, the nurse prepares the patient for which laboratory evaluation?

Serum complement level

Glomerular filtration rate

White blood count

Electroencephalogram

Answer and Explanation

The Correct Answer is B

A.   Serum complement levels are used to evaluate the complement system, which is part of the immune system and plays a role in inflammation and infection. While complement levels can be important in certain inflammatory and autoimmune conditions, they are not typically used to assess age-related changes that impact drug metabolism or the appropriate selection of pain medications.
B.   The Glomerular Filtration Rate (GFR) is a key measure of kidney function. In older adults, kidney function often declines with age, affecting the metabolism and excretion of medications. Many drugs are primarily eliminated through the kidneys, and impaired kidney function can lead to drug accumulation, increased risk of toxicity, and altered therapeutic efficacy. Assessing GFR helps in adjusting medication doses to avoid adverse effects and ensure safe and effective treatment.
C.   A White Blood Count (WBC) measures the number of white blood cells in the blood and is used to assess the body's response to infection, inflammation, and other conditions. While it provides valuable information about immune function and potential infections, it does not directly address age-related changes in drug metabolism or pharmacokinetics. Therefore, it is not the primary test for evaluating how aging might affect drug therapy.
D.   An Electroencephalogram (EEG) records the electrical activity of the brain and is used to diagnose neurological conditions such as seizures, sleep disorders, and brain abnormalities. Although EEGs are valuable in certain neurological assessments, they do not provide information on how age-related physiological changes affect drug metabolism or how to tailor drug regimens for older adults.

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Correct Answer is A

Explanation

Amount of gentamycin sulfate to administer= (desired dose ÷ available dose) × available quantity. In this case,

The desired dose is 100 mg, and the available dose is 60 mg in 1.5 mL.

Using the formula, the calculation would be: (100 mg ÷ 60 mg) × 1.5 mL = 2.5 mL.

Therefore, the nurse should prepare 2.5 mL of gentamycin sulfate to administer to the patient.

A. "Have you been experiencing pain in your feet?" B. "What were the results of your most recent A1C blood test?" C. "Can you tell me why its important to test your blood glucose level at least daily?" D. "Which pharmacy do you use when your prescription needs to be refilled?"

Correct Answer is C

Explanation

A. This question is specific to a potential complication of diabetes, but it does not directly assess the patient's understanding of their current health problems or the importance of self-monitoring blood glucose levels.
B. This question is about a specific laboratory result, but it does not assess the patient's understanding of the importance of self-monitoring blood glucose levels.
C. This question assesses the patient's understanding of the importance of self-monitoring blood glucose levels, which is crucial for managing diabetes. By understanding the reasons behind this intervention, the patient is more likely to comply with the treatment plan and make informed decisions about their health.
D. This question is about the logistics of medication management, but it does not assess the patient's understanding of their current health problems or the importance of self-monitoring blood glucose levels.

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The nurse is caring for an older adult who reports severe chronic pain. To best assess age- related physiologic changes that could influence plans for initiating an appropriate drug regimen, the nurse prepares the patient for which laboratory evaluation?

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Naxlex Comprehensive Predictor Exams

The nurse receives an order to administer 100 mg of gentamycin sulfate to a patient as an IM injection. The nurse has on hand gentamycin sulfate 60 mg/1.5 mL. How many mls should the nurse prepare to administer to the patient?

Correct Answer is A

Explanation

A nurse is assessing a patient's understanding of their current health problems which in turn contributes to proper disease management. Which question by the nurse is most helpful?

Correct Answer is C

Explanation

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The nurse is caring for an older adult who reports severe chronic pain. To best assess age- related physiologic changes that could influence plans for initiating an appropriate drug regimen, the nurse prepares the patient for which laboratory evaluation?