The nurse is providing medications to an adult patient with a history of advanced kidney disease. Which laboratory finding indicates that the dosages of medications may need to be decreased?

Hemoglobin 12 mg/dL

Glucose 100 mg/dL

Creatinine 8 mg/dL

Potassium 4.0 mEq/L

Answer and Explanation

The Correct Answer is C

A. Hemoglobin 12 mg/dL: Hemoglobin levels reflect the oxygen-carrying capacity of the blood and are not directly related to kidney function or medication dosage adjustments. This value is within the normal range and does not suggest a need for medication dosage changes.

B. Glucose 100 mg/dL: Blood glucose levels are not directly related to kidney function and do not indicate the need to adjust medication dosages. This value is within normal limits.

C. Creatinine 8 mg/dL: Creatinine levels are a key indicator of kidney function. A creatinine level of 8 mg/dL is significantly elevated, suggesting severe renal impairment. Medications that are excreted by the kidneys may need to be dosed lower or avoided altogether to prevent toxicity.

D. Potassium 4.0 mEq/L: This is a normal potassium level and does not indicate the need for medication dosage adjustments. While potassium levels are important in kidney disease, this specific value does not suggest a dosage change is necessary.

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Correct Answer is B

Explanation

True:MedWatch is the FDA’s program for reporting adverse effects and other safety concerns regarding medical products, including medications.

A. Intramuscular B. Intravenous C. topically D. Transdermal E. Oral pills

Correct Answer is ["A","B"]

Explanation

A. Intramuscular: Intramuscular (IM) injections are absorbed faster than oral medications due to the richer blood supply in muscles compared to subcutaneous tissues.

B. Intravenous: Intravenous (IV) administration provides immediate systemic absorption as the medication is delivered directly into the bloodstream.

C. Topically: Topical medications are applied to the skin and generally have a slower absorption rate compared to systemic routes.

D. Transdermal: Transdermal patches provide a steady, controlled release of medication through the skin, but absorption is slower compared to IM and IV routes.

E. Oral pills: Oral medications are absorbed through the gastrointestinal tract, which is slower compared to IM and IV routes.

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The nurse is providing medications to an adult patient with a history of advanced kidney disease. Which laboratory finding indicates that the dosages of medications may need to be decreased?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Medwatch is a way of reporting adverse effects of a medication?

Correct Answer is B

Explanation

A nurse is preparing to administer a medication to a patient. Which routes should the nurse anticipate as leading to quicker systemic absorption? (Select all that apply.)

Correct Answer is ["A","B"]

Explanation

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