Nokea
A nurse is caring for a client who has a new prescription for metformin. Which of the following laboratory values should the nurse monitor?
- A. Blood glucose
- B. Hemoglobin
- C. Serum creatinine
- D. Cholesterol
Correct Answer: C
Rationale: Metformin can affect kidney function, so monitoring serum creatinine is essential to assess renal clearance and prevent lactic acidosis.
You may also like to solve these questions
A nurse is caring for a client who has a new prescription for tamsulosin. Which of the following adverse effects should the nurse monitor for?
- A. Orthostatic hypotension
- B. Weight gain
- C. Hyperglycemia
- D. Tinnitus
Correct Answer: A
Rationale: Tamsulosin, an alpha-blocker, can cause orthostatic hypotension due to vasodilation, especially with the first dose.
A nurse is caring for a client who is receiving chemotherapy. Which of the following laboratory values should the nurse monitor?
- A. White blood cell count
- B. Blood urea nitrogen
- C. Serum albumin
- D. Cholesterol
Correct Answer: A
Rationale: Chemotherapy can cause leukopenia, so monitoring white blood cell count is essential to assess infection risk.
A nurse is reinforcing teaching with a client who is scheduled for a parathyroid scan. Which of the following instructions should the nurse include?
- A. Avoid iodine-rich foods for 1 week before the scan.
- B. Fast for 12 hours before the scan.
- C. Expect to receive sedation.
- D. Remove all jewelry before the scan.
Correct Answer: D
Rationale: Removing all jewelry before a parathyroid scan prevents interference with the imaging process.
A nurse is monitoring a client who is postoperative following a thyroidectomy. Which of the following findings should indicate to the nurse that the client is developing a thyroid storm?
- A. Decreased body temperature
- B. Increased incisional drainage
- C. Hypertension
- D. Bradycardia
Correct Answer: C
Rationale: Hypertension is correct. Thyroid storm is a severe, acute exacerbation of hyperthyroidism, and it is associated with hypertension, tachycardia, fever, and other symptoms of sympathetic nervous system overactivity.
A nurse is reinforcing teaching with a client who is scheduled for a nerve conduction study. Which of the following instructions should the nurse include?
- A. Avoid caffeine before the study.
- B. Remove all jewelry before the study.
- C. Expect sedation during the study.
- D. Fast for 8 hours before the study.
Correct Answer: B
Rationale: Removing all jewelry before a nerve conduction study prevents interference with the electrical signals measured.