A nurse is reviewing the medical record of a client who reports drinking three to four glasses of wine each night and taking 3,000 mg of acetaminophen daily. Which of the following laboratory values is the priority for the nurse to assess?

Antidiuretic hormone (ADH)

Amylase

Aspartate aminotransferase (AST)

Creatinine

Answer and Explanation

The Correct Answer is C

A. Antidiuretic hormone (ADH) levels are not typically affected by alcohol or acetaminophen use.
B. Amylase levels are related to pancreatic function and are not specifically affected by alcohol or acetaminophen use.
C. Aspartate aminotransferase (AST) is a liver enzyme that can be elevated in alcohol-induced liver damage and acetaminophen toxicity.
D. Creatinine levels assess kidney function and are not typically affected by alcohol or acetaminophen use to the extent that AST levels are.

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Correct Answer is A

Explanation

A. Discussing initiating hospice care is appropriate to address the client's desire to go home for end-of-life care and to provide support and resources for the family.
B. Extending the hospital stay may not align with the client's wishes for end-of-life care at home.
C. Placing the client in a nursing home may not be in line with the client's preference to go home.
D. While the family may provide palliative care, the nurse should also explore hospice care options for comprehensive support.

A. At the nurses' station while reviewing the provider's prescription B. At the time of documentation C. In the area where the nurse obtained the medication D. At the client's bedside before administration

Correct Answer is D

Explanation

Rationale:
A. Reviewing at the nurses' station ensures understanding but is not the final check.
B. Documentation occurs after administration and is not part of the final check.
C. Checking the medication in the area where it was obtained is important but not the final check.
D. Performing the final check at the client's bedside before administration ensures the correct medication is given to the correct client, preventing medication errors.

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A nurse is reviewing the medical record of a client who reports drinking three to four glasses of wine each night and taking 3,000 mg of acetaminophen daily. Which of the following laboratory values is the priority for the nurse to assess?

Nursing Test Bank

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