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The nurse notes a medication ordered for a client is advised to use with caution in the elderly due to declining renal function. Which of the following nursing interventions is an example of a precaution?

Administering medications different times during the day

Compare the clients armband with the medication administration record

Closely monitoring the clients BUN and creatine for a decrease from baseline

closely monitoring the clients BUN and creatine for an increase from baseline

Answer and Explanation

The Correct Answer is D

A. Administering medications at different times: timing does not affect renal function monitoring.

B. Comparing the client’s armband with the MAR: this is a safety check, not a precaution for renal function.

C. Monitoring for a decrease in BUN and creatinine: a decrease does not indicate renal impairment.

D. Closely monitoring the client's BUN and creatinine for an increase from baseline: Renal function declines with age, increasing the risk of drug accumulation and toxicity. An increase in BUN (normal: 7-20 mg/dL) and creatinine (normal: 0.6-1.3 mg/dL) indicates worsening kidney function and necessitates medication adjustments.

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Correct Answer is A

Explanation

A. At the start of medication therapy: Side effects are most common when a client first begins taking a new medication because the body is not yet accustomed to the drug. Over time, tolerance may develop, and some side effects may diminish.

B. When clients take medication on an empty stomach – Some medications cause more side effects when taken on an empty stomach (e.g., NSAIDs causing gastritis), but this is not true for all medications.

C. When clients take high doses of medication – Higher doses may increase the risk of toxicity rather than routine side effects.

D. When clients take multiple medications – Drug interactions are more likely when taking multiple medications, but this does not mean that side effects are most common in this situation.

A. Medications that limit the receptor activity B. Medications that block the receptor activity C. Medications that change the receptor activity D. Medications that activate the receptor activity and are synergistic

Correct Answer is D

Explanation

A. Medications that limit the receptor activity: This describes an antagonist, which reduces or limits receptor activity.

B. Medications that block the receptor activity: This also describes an antagonist, which prevents receptor activation.

C. Medications that change the receptor activity: This statement is vague and does not clearly define an agonist.

D. Medications that activate the receptor activity and are synergistic: An agonist binds to a receptor and stimulates a response, often enhancing normal physiological functions.

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The nurse notes a medication ordered for a client is advised to use with caution in the elderly due to declining renal function. Which of the following nursing interventions is an example of a precaution?

Nursing Test Bank

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