The nurse is caring for an older adult patient who is receiving multiple medications. When monitoring this patient for potential drug toxicity, the nurse should review which lab values closely?
Complete blood count and serum glucose levels
Pancreatic enzymes and urinalysis
Serum creatinine and liver function tests (LFTs)
Serum lipids and electrolytes
The Correct Answer is C
A. Complete blood count (CBC) and serum glucose levels are important for overall health monitoring but do not specifically assess drug metabolism or excretion, which are key factors in drug toxicity.
B. Pancreatic enzymes and urinalysis are useful for detecting pancreatic disorders and infections but are not primary indicators of drug toxicity.
C. Serum creatinine and liver function tests (LFTs) are critical for monitoring drug toxicity, especially in older adults. The kidneys and liver are responsible for drug metabolism and excretion. Impaired kidney function, indicated by elevated serum creatinine, can lead to drug accumulation and toxicity. Abnormal LFTs suggest liver dysfunction, which can affect drug metabolism and increase toxicity risk.
D. Serum lipids and electrolytes are important for cardiovascular and metabolic health but do not directly assess drug metabolism or toxicity risk.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. The statement that no drug remains is incorrect. A drug with a half-life of 8 hours will not be completely eliminated in 24 hours, as it follows a predictable pattern of reduction.
B. A reduction to 50 mg would require additional half-life intervals beyond 24 hours. The drug concentration decreases by half every 8 hours, meaning it would take more than 24 hours to reach this level.
C. The correct calculation follows the half-life principle:
- At 8 hours: 800 mg → 400 mg
- At 16 hours: 400 mg → 200 mg
- At 24 hours: 200 mg → 100 mg
Therefore, 100 mg of the drug remains after 24 hours.
D. While 200 mg is a step in the process, it represents the amount remaining after only 16 hours, not the full 24-hour period.
Correct Answer is C
Explanation
A. The Drug Regulation and Reform Act focuses on expediting drug approval processes and does not specifically govern drug administration by nurses.
B. The FDA Amendments Act primarily expands the authority of the FDA over drug safety and post-marketing surveillance but does not directly regulate nursing drug administration.
C. Nurse Practice Acts (NPAs) are state laws that define the scope of nursing practice, including drug administration. These laws outline nurses' responsibilities, legal limitations, and requirements for safe medication administration.
D. The Controlled Substances Act regulates the manufacture, distribution, and classification of controlled substances but does not govern all aspects of drug administration by nurses.
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