A nurse is caring for a client who is scheduled for a blood sampling for a serum creatinine level. The client asks the nurse, "What is the purpose of this test?" Which of the followingresponses should the nurse give?

"This test will inform your provider if you are anemic."

"This test will inform your provider if you have an infection."

"This test will inform your provider if you have a thyroid disorder."

"This test will inform your provider how your kidneys are functioning."

Answer and Explanation

The Correct Answer is D

a. "This test will inform your provider if you are anemic." Serum creatinine is not used to assess anemia. Anemia is often evaluated through tests like hemoglobin and hematocrit.

b. "This test will inform your provider if you have an infection." Serum creatinine is not a direct indicator of infection. It is primarily used to assess kidney function.

c. "This test will inform your provider if you have a thyroid disorder." Serum creatinine is not

used to evaluate thyroid function. Thyroid function is typically assessed through thyroid function tests.

d. "This test will inform your provider how your kidneys are functioning." This is the correct

response. Serum creatinine is a waste product that is filtered by the kidneys, and elevated levels may indicate impaired renal function.

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Correct Answer is C

Explanation

a. Allow the client to take her morning vitamins: This is generally acceptable unless there are specific preoperative instructions regarding medication.

b. Allow the client to keep her tongue stud in: Metallic objects, including tongue studs, are

usually removed before surgery to prevent interference with equipment and to ensure patient safety.

c. Allow the client to keep her hearing aids in: It is important for the client with a hearing

impairment to keep hearing aids in place to facilitate communication and maintain awareness of the environment.

d. Allow the client to consume clear liquids up to the time of surgery: Clear liquids are typically restricted before surgery to prevent aspiration. This action may not align with standard

preoperative fasting guidelines.

A. Low BP and low pulse rate B. Low BP and high pulse rate C. High BP and low pulse rate D. High BP and high pulse rate

Correct Answer is B

Explanation

a. Low BP and low pulse rate: In hypovolemic shock, there is a decrease in blood volume,

leading to low blood pressure. However, the body compensates by increasing the heart rate to maintain perfusion to vital organs.

b. Low BP and high pulse rate: This is indicative of hypovolemic shock. The low blood pressure results from decreased blood volume, while the high pulse rate is a compensatory mechanism to maintain cardiac output.

c. High BP and low pulse rate: This combination is not typical of hypovolemic shock. High blood pressure is not expected in the presence of decreased blood volume.

d. High BP and high pulse rate: While a high pulse rate is expected in hypovolemic shock, high blood pressure is not a characteristic finding.

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A nurse is caring for a client who is scheduled for a blood sampling for a serum creatinine level. The client asks the nurse, "What is the purpose of this test?" Which of the followingresponses should the nurse give?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing a young adult client who has a hearing impairment for surgery. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is measuring the vital signs of a client he suspects has hypovolemic shock. Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

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