A nurse is reviewing the laboratory results of a client who has rheumatoid arthritis and a prescription for cyclosporine.
The nurse should report which of the following laboratory values to the provider?
Creatinine.5 mg/dL.
Potassium 4.2 mEq/L.
BUN 18 mg/dL.
Sodium 139 mEq/L.
The Correct Answer is A
Cyclosporine is an immunosuppressant medication that can have nephrotoxic effects.
A creatinine level of.5 mg/dL is above the normal range and may indicate impaired kidney function.
The nurse should report this value to the provider for further evaluation.
Choice B is wrong because Potassium 4.2 mEq/L, is not the correct answer because it falls within the normal range for potassium levels in the blood.
Choice C is wrong because BUN 18 mg/dL, is not the correct answer because it falls within the normal range for blood urea nitrogen levels.
Choice D is wrong because Sodium 139 mEq/L, is not the correct answer because it falls within the normal range for sodium levels in the blood.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D"]
Explanation
When self-administering enoxaparin, the client should “Insert the entire length of the needle into the skin during injection” 1, “Grasp the skin between the thumb and forefinger while injecting the medication” , and “Alternate injection sites between the sides of the abdomen”
Choice B is wrong because the client should not massage the insertion site after injecting the medication.
Choice E is incorrect because the client should not expel the air bubble from the prefilled syringe.
The air bubble helps to ensure that all of the medication is injected and prevents leakage from the injection site.
Correct Answer is A
Explanation
Total parenteral nutrition (TPN) is a method of administration of essential nutrients to the body through a central vein.
TPN solutions are customized for each client’s needs, including the exact amount of calories and nutrients necessary for total nutritional needs.
Monitoring the client’s weight daily is important to determine if nutritional goals are being met and to assess fluid volume status.
Choice B is wrong because TPN solutions are concentrated and can cause thrombosis of peripheral veins, so they require a central venous catheter and should not be hung to gravity to infuse.
Choice C is wrong because TPN solution should not be titrated to blood pressure.
Choice D is wrong because the client’s blood glucose level should be monitored more frequently than weekly when receiving TPN.
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