The client with chronic renal failure is scheduled for hemodialysis at 9 am. They are scheduled to receive oral daily medications. Which statement best describes when the nurse should administer the medications?

During dialysis

Give as scheduled

After returning from dialysis

Hold the medications for today and restart tomorrow

Answer and Explanation

The Correct Answer is C

A. During dialysis: Some drugs can bind to the dialysis membrane or be removed unpredictably.

B. Give as scheduled: If given before dialysis, the drugs may be removed from circulation.

C. After returning from dialysis: Dialysis removes medications from the bloodstream. Giving medications before dialysis may result in drug loss. Oral medications should be given after dialysis to ensure proper absorption and effectiveness.

D. Hold the medications for today and restart tomorrow: Unnecessary, as the client needs their medications post-dialysis.

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Correct Answer is A

Explanation

A. BUN 45 mg/dL and creatinine 8 mg/dL: In CKD, BUN (> 20 mg/dL) and creatinine (> 1.2 mg/dL) are significantly elevated due to reduced kidney function. A creatinine of 8 mg/dL indicates severe renal impairment.

B. BUN 10 mg/dL and creatinine 0.3 mg/dL: Too low for CKD, suggestive of normal renal function.

C. BUN 8 mg/dL, creatinine 0.7 mg/dL: Normal values.

D. BUN 23 mg/dL, creatinine 1.0 mg/dL: Mild elevation, but not consistent with CKD severity.

A. pH 7.30. PaCO2 38 P02 92, HCO3 15 B. pH 7.32. PaCO2 56, PO2 84, HCO3 26 C. pH 7.37. PaCO2:45, PO2 91, HCO3 24 D. pH 7.48. PaCO2 32, PO2 94. HCO3 22

Correct Answer is B

Explanation

A. pH 7.30, PaCO₂ 38, HCO₃ 15: Metabolic acidosis (low HCO₃, normal PaCO₂).

B. pH 7.32, PaCO₂ 56, PO₂ 84, HCO₃ 26: The client has respirations of 8/min, which indicates hypoventilation → CO₂ retention → respiratory acidosis. pH 7.32 indicates acidosis. PaCO₂ 56 mmHg - Elevated CO₂ (hypercapnia), confirming respiratory acidosis. HCO₃ 26- Normal bicarbonate suggests that compensation has not yet occurred

C. pH 7.37, PaCO₂ 45, HCO₃ 24: Normal ABG values.

D. pH 7.48, PaCO₂ 32, HCO₃ 22: Respiratory alkalosis (low PaCO₂ due to hyperventilation, not hypoventilation).

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The client with chronic renal failure is scheduled for hemodialysis at 9 am. They are scheduled to receive oral daily medications. Which statement best describes when the nurse should administer the medications?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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