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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "This medication will replace vitamins and minerals that may be lost due to bleeding during surgery." Cefazolin is an antibiotic, not a replacement for vitamins and minerals. This statement is incorrect.
B. "This is a palliative medication to help ease the pain from surgery."Cefazolin is not a palliative medication; it is an antibiotic used to prevent infection, not to relieve pain.
C. "This medication will help the surgeon identify areas of bone destruction due to arthritis." Cefazolin does not aid in the identification of bone destruction. It is an antibiotic, not a diagnostic tool.
D. "This antibiotic is given as a prophylactic to help reduce the risk of infection after surgery."
This statement is correct. Cefazolin is given prophylactically to reduce the risk of postoperative infection.
Correct Answer is ["A","C","D"]
Explanation
A. Replacement medications provide needed physiological components: Replacement therapy provides substances that the body is deficient in, such as insulin for diabetes.
B. Destructive medications are always curative: Destructive medications, such as chemotherapeutic agents, may destroy pathological cells but are not always curative.
C. Palliative therapy provides pain relief: Palliative therapy aims to relieve symptoms and improve quality of life rather than cure.
D. Diagnostic drugs help to identify pathological processes: Diagnostic drugs are used in tests and procedures to help identify and diagnose diseases.
E. Prophylactic medications are curative: Prophylactic medications are used to prevent diseases, not cure them.
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