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

"This test will tell your doctor how your kidneys are functioning."

"This test will tell if you have severe renal impairment or a disease."

"We'll find out if any medications, such as steroids, are interfering with your kidney function."

"You'll have to ask your doctor."

Answer and Explanation

The Correct Answer is A

Choice A reason: The serum creatinine test measures the amount of creatinine in the blood and provides information about kidney function. Normal ranges for serum creatinine levels are 0.74 to 1.35 mg/dL for adult men and 0.59 to

1.04 mg/dL for adult women. This test is a common way to assess renal function and can indicate if the kidneys are not filtering waste eﬀectively.

Choice B reason: While a serum creatinine test can indicate severe renal impairment, it does not diagnose a specific disease. Further testing would be required to determine the presence of a particular renal disease.

Choice C reason: The serum creatinine test does not directly show if medications are aﬀecting kidney function. However, if a patient is on medications known to aﬀect the kidneys, such as certain steroids, changes in creatinine levels can suggest an impact on renal function.

Choice D reason: It is part of the nurse's role to provide information about tests and procedures. Telling a patient to ask the doctor does not oﬀer immediate support or information, which can be important for patient care and understanding.

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Free Nursing Study Resources

Correct Answer is ["2"]

Explanation

Step 1: The total amount of olanzapine required per dose is 20 mg.

Step 2: Each tablet contains 10 mg of olanzapine.

Step 3: To find out how many tablets are needed, we divide the total amount required by the amount in each tablet. So, 20 mg ÷ 10 mg/tablet.

Step 4: The result is 2 tablets.

So, the nurse should administer 2 tablets per dose. This is already a whole number, so no rounding is necessary.

A. Ensure that the client's urine output is at least 1 mL/kg/hour. B. Educate the client regarding high-potassium food sources. C. Cardiac monitoring during infusion. D. Repeat blood serum potassium. E. Ensure potassium infusion is prepared with 5% dextrose solution.

Correct Answer is ["A","C","D"]

Explanation

Choice A reason: Ensuring the client's urine output is at least 1 mL/kg/hour is important before administering potassium to prevent hyperkalemia, especially in clients with renal impairment.

Choice B reason: While educating the client about high-potassium food sources is important, it is not directly related to the administration of intravenous potassium.

Choice C reason: Cardiac monitoring during infusion is crucial due to the risk of arrhythmias associated with rapid

changes in potassium levels.

Choice D reason: Repeating blood serum potassium is necessary to monitor the effectiveness of the supplementation and avoid hyperkalemia.

Choice E reason: Potassium should not be prepared with 5% dextrose solution as it may cause a trans-cellular shift of potassium into cells, which is not recommended.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer olanzapine 20 mg PO daily. Available are olanzapine 10 mg orally-disintegrating tablets. How many tablets should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["2"]

Explanation

A nurse is preparing to administer prescribed intravenous potassium replacement supplements to a client who has a potassium level of 2.5 mEq/L (normal range: 3.5 to 5 mEq/L). Which of the following actions should the nurse plan to include? (Select all that apply.)

Correct Answer is ["A","C","D"]

Explanation

A nurse is caring for a male client who reports nausea and vomiting and is receiving IV fluid therapy. His blood urea nitrogen (BUN) is 32 mg/dL, creatinine is 1.1 mg/dL, and hematocrit is 50%. Which of the following nursing interventions is appropriate?

A nurse is caring for a client who has heart failure and a prescription for digoxin 125 mcg PO daily. Available is digoxin PO 0.25 mg/tablet. How many tablets should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is caring for a client in the clinic who has a distended bladder with discomfort over the area and a sense of fullness. Which of the following tests should the nurse expect the health care provider to order to determine if the client has urinary retention? (Select all that apply.)

A nurse is discussing laboratory values associated with the renal system with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the values?

A client who has polycystic kidney disease (PKD) presents to the emergency department with reports of a severe headache. Which of the following complications should the nurse expect?

A nurse is caring for older adult clients at a long-term care facility. Which of the following assessments should the nurse consider when monitoring clients for urinary retention? (Select all that apply.)