Exhibits

Review H and P, nurse's notes, laboratory results, flow sheet, and orders.

Click to mark whether the assessment finding represents a therapeutic result of the sodium bicarbonate administered, a non-therapeutic side-effect, or an unrelated finding.

Heart rate 77 bpm

400 mL Urine Output

Bicarbonate 22 mEq/L (22 mmol/L)

Blood pressure 113/72 mmHg

pH 7.35

Sodium 152 mEq/L (152 mmol/L)

Capillary refill 2 seconds

Answer and Explanation

The Correct Answer is {"A":{"answers":"C"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"C"},"E":{"answers":"A"},"F":{"answers":"A"},"G":{"answers":"A"}}

Heart rate 77 bpm: Unrelated finding

400 mL Urine Output: Therapeutic result (indicating improved renal function)

Bicarbonate 22 mEq/L (22 mmol/L): Therapeutic result (indicating correction of acid-base imbalance)

Blood pressure 113/72 mmHg: Unrelated finding (within normal range)

pH 7.35: Therapeutic result (indicating improvement in acid-base balance)

Sodium 152 mEq/L (152 mmol/L): Therapeutic result (indicating improved electrolyte balance)

Capillary refill 2 seconds: Therapeutic result (indicating improved perfusion)

Nursing Test Bank

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Correct Answer is B

Explanation

A. Remind the client to drink plenty of fluids when taking the medication:

Drinking fluids with zolpidem is not a primary concern in this situation. The main issue is the timing of the medication.

When a client with a new prescription for zolpidem, a hypnotic, plans to take a dose of the medication during the day for a short afternoon nap, the nurse should take the following action:

B. Encourage the client to wait until bedtime to take the medication.

Explanation: Zolpidem is a medication primarily prescribed to help individuals with insomnia fall asleep more easily when taken at bedtime. Taking it during the day, especially if the client plans to engage in activities afterward, can lead to drowsiness, impaired coordination, and reduced alertness. It is not intended for daytime use or for short naps during the day. The nurse should encourage the client to take the medication as prescribed, at bedtime, to ensure safe and effective use.

C. Advise the client to take the medication with the noon meal:

Zolpidem is not typically taken with meals. Again, the primary concern is the timing of the medication.

D. Explain that the client needs to allow for sleep time of at least two hours:

While it's important to allow for sufficient sleep time after taking zolpidem to minimize the risk of impaired alertness and coordination, the client should be encouraged to take the medication at bedtime rather than during the day to ensure it works as intended.

A. Have you experienced itching or hives? B. Have you noticed the need to urinate less often? C. Have you noticed that your skin is dry? D. Have you experienced urgency to urinate? E. Are you taking any supplements? F. Do you use any salt substitutes?

Correct Answer is ["B","D","E","F"]

Explanation

B. Have you noticed the need to urinate less often? - Elevated serum creatinine and BUN levels can be indicative of decreased kidney function, which might result in decreased urine output.

D. Have you experienced urgency to urinate? - Abnormal electrolyte levels, such as high potassium (hyperkalemia), can affect bladder function and cause urinary urgency.

E. Are you taking any supplements? - High potassium levels can sometimes be related to potassium-containing supplements, so it's essential to inquire about any supplements the client may be taking.

F. Do you use any salt substitutes? - High potassium levels can be caused by the excessive use of salt substitutes, which often contain potassium chloride.

A. Have you experienced itching or hives? - While itching or hives can be associated with various conditions, these symptoms may not be directly related to the specific lab results mentioned.

C. Have you noticed that your skin is dry? - Dry skin is a non-specific symptom and may not be directly related to these lab results.

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Laboratory Test	Result	reference range
Serum Creatinine	1 mg/dl (88.4 μmol/L)	0.5-1.1 mg/dL (44-97 μmol/L)
BUN	9 mg/dl. (3.2 mmol/L)	10-20 mg/dl. (3.6-7.1 mmol/L)
Sodium	136 mEq/L (136 mmol/L)	136 to 145 mEq/L (136 to 145 mmol/L)
Potassium	6.1 mEq/L (6.1 mmol/L)	3.5 to 5 mEq/L (3.5 to 5 mmol/L)

Exhibits Review H and P, nurse's notes, laboratory results, flow sheet, and orders. Click to mark whether the assessment finding represents a therapeutic result of the sodium bicarbonate administered, a non-therapeutic side-effect, or an unrelated finding.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

Correct Answer is ["B","D","E","F"]

Explanation

A client with chemotherapy induced nausea receives a prescription for metoclopramide. Which adverse effect is most important for the nurse to repart?

On admission, the healthcare provider prescribes a broad spectrum antibiotic for a client with a gram-negative infection. Before administering the first dose, it is most Important for the nurse to implement which prescription?

When administering medications to a group of clients, which client should the nurse closely monitor for development of acute kidney injury (AKI)?

A client taking atorvastatin develops an increased serum creatine phosphokinase (CK) level. The nurse should assess the client for the onset of which problem?

A female client with multiple sclerosis reports having less fatigue and improved memory since she began using the herbal supplement, ginkgo biloba. Which information is most important for the nurse to include in the teaching plan for this client?

The nurse is planning care for a client with major depression who is receiving a new prescription for duloxetine. Which information is most important for the nurse to obtain?

Exhibits

Review H and P, nurse's notes, laboratory results, flow sheet, and orders.

Click to mark whether the assessment finding represents a therapeutic result of the sodium bicarbonate administered, a non-therapeutic side-effect, or an unrelated finding.