A nurse is reviewing the BUN result of a client who is taking cyclosporine following a kidney transplant. Which of the following laboratory studies should the nurse recognize as another renal function study that should be monitored?
Creatinine
Alkaline phosphatase
Bilirubin
Amylase
The Correct Answer is A
Rationale:
A. Creatinine: Serum creatinine is a key indicator of renal function. Cyclosporine is nephrotoxic, so monitoring both BUN and creatinine helps detect early signs of kidney impairment or transplant rejection.
B. Alkaline phosphatase: This enzyme primarily reflects liver and bone activity, not renal function. It is not routinely used to evaluate kidney status.
C. Bilirubin: Bilirubin levels are used to assess liver function and hemolytic disorders, not kidney function.
D. Amylase: Amylase is an enzyme related to pancreatic function and used to diagnose pancreatitis, not renal impairment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. Encourage the client to watch television: Distracting the client with television is not effective during an acute panic attack. The client may be too anxious to focus, and this approach does not provide emotional support or safety.
B. Teach the client how to meditate: Teaching meditation is a long-term coping strategy and is not helpful during an acute panic attack, when the client requires immediate support and reassurance.
C. Administer a dose of atomoxetine to decrease anxiety: Atomoxetine is used to treat attention-deficit/hyperactivity disorder (ADHD) and is not indicated for acute anxiety or panic attacks. Medications for acute panic typically include fast-acting benzodiazepines if prescribed.
D. Sit with the client to provide a sense of security: Providing a calm presence and sitting with the client helps reduce feelings of fear and isolation. This intervention offers immediate emotional support, reassurance, and a sense of safety during the panic episode.
Correct Answer is C
Explanation
Rationale:
A. Tends to be very expressive with gestures and body language: Chinese cultural norms often value modesty and restrained expression rather than overt gestures. Expecting expressive behavior may not align with typical postpartum practices.
B. Prefers to make direct eye contact with health care personnel: In many Chinese cultural contexts, avoiding direct eye contact is a sign of respect, especially toward authority figures, rather than a preference for direct engagement.
C. Prefers foods that maintain a balance of hot and cold within the body: Traditional Chinese postpartum practices emphasize restoring balance through diet, often using “hot” and “cold” foods to support recovery and prevent illness, making this a key consideration in care planning.
D. Expresses pain freely and loudly: Cultural norms often encourage quiet endurance of pain, especially postpartum, rather than vocal or exaggerated expressions of discomfort.
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