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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is A
Explanation
a. A client taking furosemide for chronic hypertension: Furosemide is a loop diuretic that can
lead to hypokalemia, which increases the risk of digoxin toxicity, as hypokalemia potentiates the effects of digoxin on the heart.
b. A client taking a potassium supplement twice a day: Potassium supplementation reduces the risk of digoxin toxicity, as hypokalemia is a risk factor for toxicity.
c. A client taking aluminum hydroxide for gastric upset: Aluminum hydroxide is an antacid and does not significantly affect digoxin levels.
d. A client taking chlorpropamide for type 2 diabetes mellitus: Chlorpropamide is an oral hypoglycemic agent and does not significantly affect digoxin levels.
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