The nurse notes a medication ordered for a client is advised to use with caution in the elderly due to declining renal function. Which of the following nursing interventions is an example of a precaution?
Administering medications different times during the day
Compare the clients armband with the medication administration record
Closely monitoring the clients BUN and creatine for a decrease from baseline
closely monitoring the clients BUN and creatine for an increase from baseline
The Correct Answer is D
A. Administering medications at different times: timing does not affect renal function monitoring.
B. Comparing the client’s armband with the MAR: this is a safety check, not a precaution for renal function.
C. Monitoring for a decrease in BUN and creatinine: a decrease does not indicate renal impairment.
D. Closely monitoring the client's BUN and creatinine for an increase from baseline: Renal function declines with age, increasing the risk of drug accumulation and toxicity. An increase in BUN (normal: 7-20 mg/dL) and creatinine (normal: 0.6-1.3 mg/dL) indicates worsening kidney function and necessitates medication adjustments.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["98.2"]
Explanation
°F= (°C×9/5)+32
°F= (36.8°C×9/5)+32
°F=66.24+32=98.24
Rounded to the nearest tenth: 98.2°F
Correct Answer: 98.2
Correct Answer is B
Explanation
A. Baked chicken: Safe if properly cooked, as heat kills bacteria.
B. Fresh fruit basket: A WBC count of 2,200/mm³ indicates neutropenia, increasing the risk of infections. Fresh fruits (unless thoroughly washed or peeled) may contain bacteria or fungi, posing an infection risk.
C. A factory-sealed box of chocolates: Sealed items reduce the risk of contamination.
D. Bagels: Processed and baked, so unlikely to carry harmful bacteria.
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