The nurse is providing medications to an adult patient with a history of advanced kidney disease. Which laboratory finding indicates that the dosages of medications may need to be decreased?

Hemoglobin 12 mg/dL

Glucose 100 mg/dL

Creatinine 8 mg/dL

Potassium 4.0 mEq/L

Answer and Explanation

The Correct Answer is C

A. Hemoglobin 12 mg/dL: Hemoglobin levels reflect the oxygen-carrying capacity of the blood and are not directly related to kidney function or medication dosage adjustments. This value is within the normal range and does not suggest a need for medication dosage changes.

B. Glucose 100 mg/dL: Blood glucose levels are not directly related to kidney function and do not indicate the need to adjust medication dosages. This value is within normal limits.

C. Creatinine 8 mg/dL: Creatinine levels are a key indicator of kidney function. A creatinine level of 8 mg/dL is significantly elevated, suggesting severe renal impairment. Medications that are excreted by the kidneys may need to be dosed lower or avoided altogether to prevent toxicity.

D. Potassium 4.0 mEq/L: This is a normal potassium level and does not indicate the need for medication dosage adjustments. While potassium levels are important in kidney disease, this specific value does not suggest a dosage change is necessary.

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

Explanation

A. Assess and document patient's level of pain: Monitoring and documenting pain is essential for effective pain management and patient comfort.

B. Administer contrast material: Administering contrast material is not typically required in the immediate postoperative period unless specifically ordered for diagnostic imaging.

C. Administer intravenous fluids as ordered: IV fluids are often needed postoperatively to maintain hydration and support recovery.

D. Administer antineoplastic agents as ordered: Antineoplastic agents are used for cancer treatment and are not a standard part of postoperative care unless the patient is undergoing concurrent cancer therapy.

E. Administer pain medication as ordered: Administering pain medication as ordered is crucial for managing postoperative pain and promoting recovery.

A. age B. whether the drug is a brand or generic drug C. route of administration D. Overall health of the patient's organs

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

Explanation

A. Age: Age affects drug metabolism and excretion. Older adults often have slower metabolism and impaired organ function, which can prolong the drug cycle.

B. Whether the drug is a brand or generic drug: The brand or generic status of a drug does not typically influence the drug cycle. The active ingredients are the same, so the cycle duration remains unaffected.

C. Route of administration: The route of administration significantly influences the onset, intensity, and duration of a drug's action. For example, intravenous drugs act faster than oral drugs.

D. Overall health of the patient's organs: The health of organs like the liver and kidneys is crucial because these organs are involved in the metabolism and excretion of drugs. Compromised organ function can lead to a prolonged drug cycle.

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The nurse is providing medications to an adult patient with a history of advanced kidney disease. Which laboratory finding indicates that the dosages of medications may need to be decreased?

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Naxlex Comprehensive Predictor Exams

A nurse is monitoring a patient during the postoperative period following a surgical procedure. Which actions should be included in the plan of care? (Select all that apply.)

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

Explanation

The LPN/LVN is aware of the drug cycle that begins with the administration of a drug. Which factor(s) would influence the amount of time needed to complete the drug cycle of a drug? Select all that apply.

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

Explanation

which of the following is a sign of anaphylaxis?

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The nurse is providing medications to an adult patient with a history of advanced kidney disease. Which laboratory finding indicates that the dosages of medications may need to be decreased?

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