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The nurse reviews the laboratory values. What question(s) can the nurse ask the client based on the laboratory results? Select all that apply.

Are you taking any supplements?

Have you experienced itching or hives?

Have you noticed that your skin is dry?

Have you noticed the need to urinate less often?

Do you use any salt substitutes?

Have you experienced urgency to urinate?

Answer and Explanation

Correct Answer : A

Choice A reason:

Asking if the client is taking any supplements is important because certain supplements can affect blood urea nitrogen (BUN) levels. For example, high protein supplements can increase BUN levels, while others might interact with medications or affect kidney function.

Choice B reason:

Inquiring about itching or hives is relevant for identifying potential allergic reactions or side effects from medications or supplements. However, it is not directly related to the BUN levels.

Choice C reason:

Dry skin can be a symptom of various conditions, including dehydration or kidney issues. While it is a useful question, it does not directly address the BUN levels.

Choice D reason:

Asking if the client has noticed the need to urinate less often is crucial for assessing kidney function. Reduced urine output can indicate kidney dysfunction, which can affect BUN levels.

Choice E reason:

Using salt substitutes is relevant because some contain potassium, which can affect kidney function and electrolyte balance. This question helps assess potential dietary influences on BUN levels.

Choice F reason:

Experiencing urgency to urinate can be a symptom of urinary tract issues or other conditions. While it is important to know, it is not directly related to the BUN levels.

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Correct Answer is B

Explanation

Choice A Reason:

Inquiring about perceived anxiety is important because anxiety can contribute to sleep difficulties. However, in the context of a client taking dextroamphetamine-amphetamine, the timing of the medication is more directly related to sleep disturbances. While anxiety should be assessed, it is not the most critical factor in this scenario.

Choice B Reason:

Determining what time the dose is taken is crucial because dextroamphetamine-amphetamine is a stimulant that can interfere with sleep if taken too late in the day. Extended-release formulations are designed to provide a steady release of medication throughout the day, but taking the dose too late can lead to insomnia. Adjusting the timing of the dose can help mitigate sleep disturbances.

Choice C Reason:

Determining daily caffeine intake is relevant because caffeine is a stimulant that can also contribute to sleep difficulties. However, the primary concern in this scenario is the timing of the dextroamphetamine-amphetamine dose. While caffeine intake should be assessed, it is secondary to the medication timing.

Choice D Reason:

Asking about the client’s bedtime routine is important for understanding overall sleep hygiene. Good sleep hygiene practices can help improve sleep quality. However, in this context, the timing of the stimulant medication is more directly related to the reported sleep difficulties. Therefore, while bedtime routine is important, it is not the most critical assessment.

Correct Answer is ["2"]

Explanation

Step-by-Step Calculation

Step 1: Determine the total units prescribed.

The prescription is for 1.2 million units.

Step 2: Determine the concentration of the available vial.

The vial is labeled “600,000 units/mL.”

Step 3: Calculate the volume to be administered.

Volume to be administered = Total units prescribed ÷ Concentration of the vial
Volume to be administered = 1,200,000 units ÷ 600,000 units/mL

Result: The nurse should administer 2 mL.

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The nurse reviews the laboratory values. What question(s) can the nurse ask the client based on the laboratory results? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who is taking dextroamphetamine-amphetamine extended-release tablets for attention deficit hyperactivity disorder (ADHD) reports having difficulty sleeping at night. Which assessment is most important for the nurse to obtain?

Correct Answer is B

Explanation

A client receives a prescription for penicillin 1.2 million units IM. The available vial is labeled, “600,000 units/mL.” How many mL should the nurse administer? (Enter numeric value only.)

Correct Answer is ["2"]

Explanation

Which intervention is most important for the nurse to implement for a client with type 2 diabetes mellitus (DM) who is receiving insulin lispro?

To control asthma, a client in a residential treatment facility uses a fluticasone propionate and salmeterol discus inhalation system, which provides an inhaled powdered form of these combined medications. Which instruction should the nurse provide to this client’s caregivers?

Which action should the nurse implement to assess the effectiveness of amlodipine?

A client with peptic ulcer disease receives a new prescription for cimetidine. Which statement provided by the client requires additional instruction by the nurse?

A client receives a prescription for allopurinol. Which information provided by the client requires additional instruction by the nurse?

A client receives a prescription for ciprofloxacin 400 mg intravenously (IV) every 12 hours to be infused over an hour. The IV bag contains ciprofloxacin 400 mg in dextrose 5% in water (D5W) 200 mL. The nurse should program the infusion pump to deliver how many mL/hr? (Enter numerical value only.)

A client with nasal congestion receives a prescription for phenylephrine 10 mg PO every 4 hours. Which client condition should the nurse report to the healthcare provider before administering the medication?