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Exhibits
The provider would like the client to continue with the captopril dose and restart the spironolactone. The provider wants the client to return to the clinic in 6 weeks with lab work done.

What 2 labs would be most appropriate for this client to complete on their return visit?

Coagulation panels

Cardiac enzymes

Urine osmolality

Kidney function test

Electrolyte panel

Complete blood count

Answer and Explanation

Correct Answer : D,E

Nursing Test Bank

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Correct Answer is C

Explanation

a) Assess the client for side effects of carbamazepine:

This option might seem reasonable as monitoring for side effects is essential with any medication, especially one with a narrow therapeutic range like carbamazepine. However, the client's level of 8.4 mcg/L is within the therapeutic range (4 to 12 mcg/mL), so there's no immediate indication that side effects are likely to occur solely based on this level.

b) Notify the healthcare provider of the carbamazepine level:

While it's important to keep the healthcare provider informed about the client's condition, in this case, the carbamazepine level is within the therapeutic range. There's no urgent need to notify the provider unless there are other concerning factors not mentioned in the scenario.

c) Administer the carbamazepine as prescribed:

This is the correct answer. The client's morning carbamazepine level of 8.4 mcg/L falls within the therapeutic range (4 to 12 mcg/mL). Therefore, the evening dose should be administered as prescribed to maintain therapeutic levels and control the client's condition.

d) Withhold this dose of the carbamazepine:

Withholding the dose based solely on the morning carbamazepine level of 8.4 mcg/L, which is within the therapeutic range, would not be appropriate. Withholding the dose without consulting the healthcare provider could potentially lead to suboptimal management of the client's condition.

A. Relief of depression B. Decreased tremors C. Delay in disease progression D. Improved bladder function

Correct Answer is B

Explanation

Relief of depression Incorrect because anticholinergics do not have antidepressant effects and may worsen depression by causing sedation, confusion or hallucinations.

Decreased tremors Correct because anticholinergics block the action of acetylcholine in the brain and reduce the imbalance between dopamine and acetylcholine that causes tremors in Parkinson's disease.

Delay in disease progression Incorrect because anticholinergics do not modify the underlying pathology of Parkinson's disease and do not prevent neuronal degeneration or dopamine depletion.

Improved bladder function Incorrect because anticholinergics may impair bladder function by causing urinary retention, hesitancy or incontinence due to their antispasmodic effects on the detrusor muscle.

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Exhibits The provider would like the client to continue with the captopril dose and restart the spironolactone. The provider wants the client to return to the clinic in 6 weeks with lab work done. What 2 labs would be most appropriate for this client to complete on their return visit?

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Naxlex Comprehensive Predictor Exams

Prior to administering the evening dose of carbamazepine, the nurse notes that the client's morning carbamazepine level was 8.4 mcg/L (35.6 mcmol/L). Which action should the nurse take? Carbamazepine level [Reference Range: 4 to 12 mcg/mL or 16.9 to 50.8 mcmol/L]

Correct Answer is C

Explanation

A nurse is caring for a client who has Parkinson's disease and is prescribed an anticholinergic. Which of the following therapeutic outcomes should the nurse expect to see?

Correct Answer is B

Explanation

The healthcare provider prescribes the antibiotic tetracycline HCI for an adult client that arrived at an outpatient clinic. Which instruction should the nurse include in the teaching plan for this client?

Patient Data Exhibits Choose the most likely options for the information missing from the statement(s) by selecting from the lists of options provided. The nurse should expect for the insulin lispro to start working at dropdown and to peak at dropdown .

A nurse is assessing a client's ability to swallow. Which of the following, when selected by the nurse, indicates an understanding of the cranial nerve that tests the ability to swallow?

The nurse is preparing a discharge teaching plan for a client who is taking ciprofloxacin hydrochloride tablets, which were prescribed because of a suspected anthrax exposure. Which instruction(s) should be included in the teaching plan? (Select all that apply.)

After receiving five doses of filgrastim, the nurse notes that the client's white blood cell count has increased from 2,500/mm3 (2.5 x 109/L) to 5,000/mm3 (5 x 10°/L). Which action should the nurse implement? White Blood Cell (WBC) [Reference Range: 5000 to 10,000/mm3 (5 to 10 x 109/L)]

Find information about a client below. Exhibits What should the nurse double-check with a second nurse? Select all that apply.

Exhibits The nurse notifies the provider that the client is having trouble remembering to take his second dose of captopril. Which ACE inhibitors can be given only once per day? Select all that apply.

Exhibits
The provider would like the client to continue with the captopril dose and restart the spironolactone. The provider wants the client to return to the clinic in 6 weeks with lab work done.

What 2 labs would be most appropriate for this client to complete on their return visit?