A nurse is caring for a client experiencing kidney failure. The nurse recognizes that kidney failure causes the loss of which of the following processes integral to maintaining homeostasis?

Distribution of protein

Filtration of the blood

Metabolism of medications

Ability to hold urine

Answer and Explanation

The Correct Answer is B

A. Distribution of protein: While protein distribution may be affected in kidney disease, it is not a primary function of the kidneys.

B. Filtration of the blood: The kidneys are responsible for filtering waste products and excess substances from the blood. In kidney failure, this filtration process is impaired, leading to the accumulation of toxins in the body.

C. Metabolism of medications: Although the kidneys do play a role in drug excretion, drug metabolism primarily occurs in the liver. Kidney failure may affect the excretion phase.

D. Ability to hold urine: While kidney failure can affect urinary function, the ability to hold urine is primarily a bladder function, not directly a function of the kidneys.

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Correct Answer is C

Explanation

A. Vitamin K: Vitamin K is used for anticoagulant reversal, not for acetaminophen toxicity.

B. Flumazenil: Flumazenil is a benzodiazepine antagonist and is not indicated for acetaminophen overdose.

C. Acetylcysteine: Acetylcysteine is the antidote for acetaminophen toxicity, helping to replenish glutathione stores and prevent liver damage.

D. Atropine: Atropine is used for bradycardia or certain poisoning but is not relevant for acetaminophen toxicity.

Correct Answer is ["4"]

Explanation

Formula: (Desired Dose / Dose on Hand) × Volume
(40 mg / 10 mg) × 1 mL = 4 mL
Answer: 4 mL

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A nurse is caring for a client experiencing kidney failure. The nurse recognizes that kidney failure causes the loss of which of the following processes integral to maintaining homeostasis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in the emergency department is caring for a client who has acute toxicity from acetaminophen overdose. The nurse should prepare to administer which of the following medications?

Correct Answer is C

Explanation

A nurse is preparing to administer furosemide 40 mg IV. Available is furosemide 10 mg/1 mL. How many mL should the nurse administer per dose?

Correct Answer is ["4"]

Explanation

A charge nurse is conducting an in-service for new nursing graduates on the unit. Upon reviewing physiology of the kidneys, the nurse should include which of the following as functions of the kidneys? Select ALL that apply. (Select All that Apply.)

The nurse is teaching a nursing student about respiratory distress syndrome. Which statement by the student nurse demonstrates understanding?

A nurse is assessing a client after receiving albuterol via nebulizer. The client reports feeling "nervous and shaky”. Which of the following responses by the nurse is correct?

A nurse is caring for a client who is prescribed diphenhydramine to relieve pruritus. The client asks the nurse how he can minimize the daytime sedation he is experiencing. Which of the following responses should the nurse give?

A nurse is reviewing the BUN and creatinine levels of an older adult client who has chronic kidney disease. The nurse should expect which of the following findings?

A nurse is providing discharge instructions to a client who has asthma and is about to start taking theophylline (Theo-24). The nurse should tell the client that this medication might cause which of the following adverse effects?

A nurse is assessing a client who has chronic kidney disease for fluid volume increase. Which of the following provides a reliable measure of fluid retention?

A nurse is reviewing the medical record of a client who has a urinary tract infection (UTI). Which of the following findings should the nurse recognize as a risk factor?