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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

Answer and Explanation

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.

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Correct Answer is ["1170"]

Explanation

Given fluid intake:

1 cup of coffee = 240 mL
4 oz of orange juice = 120 mL
3 oz of water = 90 mL
1 cup of flavored gelatin = 240 mL
1 cup of tea = 240 mL
5 oz of broth = 150 mL
3 oz of cranberry juice = 90 mL

Total calculation:

240+120+90+240+240+150+90=1170mL240 + 120 + 90 + 240 + 240 + 150 + 90 = 1170 ML

Correct Answer: 1170

A. Controlled substance B. Cheapest medication C. Generic D. Brand or trade

Correct Answer is D

Explanation

A. Controlled substance: DAW applies to all types of medications, not just controlled substances.

B. Cheapest medication: DAW often results in dispensing the more expensive brand-name drug.

C. Generic: DAW prevents substitution with a generic drug.

D. Brand or trade: "DAW" (Dispense As Written) instructs pharmacists to dispense the brand-name medication, not a generic substitute.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["1170"]

Explanation

A health care provider has checked the electronic prescription box labeled "DAW". This was checked to ensure the client receives the

Correct Answer is D

Explanation

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