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What medication would the nurse prepare to give to reduce shivering in a hyperthermic client?

Magnesium sulfate

Kayexalate

Acetaminophen

Diazepam

Answer and Explanation

The Correct Answer is D

A. Magnesium sulfate: Magnesium sulfate is used for eclampsia and torsades de pointes, not for reducing shivering.

B. Kayexalate: This medication is used for hyperkalemia, not temperature control.

C. Acetaminophen: While useful for fever, acetaminophen does not stop shivering.

D. Diazepam: Shivering increases metabolic demand and body temperature. Diazepam (a benzodiazepine) is a muscle relaxant that helps control shivering in hyperthermic clients.

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Correct Answer is B

Explanation

A. "We'll find out if any medications, such as steroids, are interfering with your kidney function." Some medications affect kidney function, but creatinine primarily measures kidney efficiency, not drug interactions.

B. "This test will tell your doctor how your kidneys are functioning." Serum creatinine is a key indicator of kidney function. It measures how well the kidneys are filtering waste products.

C. "This test will tell if you have severe renal impairment or disease." Creatinine can be elevated in mild, moderate, or severe kidney dysfunction, not just in severe disease.

D. "You'll have to ask your doctor." The nurse should provide basic health education to the client.

A. BUN 45 mg/dL and creatinine 8 mg/dL B. BUN 10 mg/dL and creatinine 0.3 mg/dL C. BUN 8 mg/dL, and creatinine 0.7 mg/dL D. BUN 23 mg/dl and creatinine 1.0 mg/dL

Correct Answer is A

Explanation

A. BUN 45 mg/dL and creatinine 8 mg/dL: In CKD, BUN (> 20 mg/dL) and creatinine (> 1.2 mg/dL) are significantly elevated due to reduced kidney function. A creatinine of 8 mg/dL indicates severe renal impairment.

B. BUN 10 mg/dL and creatinine 0.3 mg/dL: Too low for CKD, suggestive of normal renal function.

C. BUN 8 mg/dL, creatinine 0.7 mg/dL: Normal values.

D. BUN 23 mg/dL, creatinine 1.0 mg/dL: Mild elevation, but not consistent with CKD severity.

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What medication would the nurse prepare to give to reduce shivering in a hyperthermic client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who will have blood sampling for a serum creatinine level and asks what this test shows. Which of the following responses should the nurse make?

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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