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A nurse is reviewing the laboratory reports for a client who has chronic kidney disease. Which of the following laboratory reports should the nurse expect to find?
- A. BUN 45 mg/dL, serum creatinine 1.0 mg/dL.
- B. BUN 11 mg/dL, serum creatinine 10 mg/dL.
- C. BUN 35 mg/dL, serum creatinine 8 mg/dL.
- D. BUN 10 mg/dL, serum creatinine 0.3 mg/dL.
Correct Answer: C
Rationale: Elevated BUN (35 mg/dL) and serum creatinine (8 mg/dL) are consistent with impaired kidney function in chronic kidney disease.
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A nurse in a clinic is caring for a client who has heart failure and is taking digoxin. Which of the following statements by the client indicates the client is experiencing digoxin toxicity?
- A. My tongue is red and beefy.
- B. I am constipated.
- C. My vision seems yellow.
- D. I am gaining weight.
Correct Answer: C
Rationale: Yellow vision (xanthopsia) is a classic symptom of digoxin toxicity, caused by its effects on the optic nerve.
A nurse is preparing to administer levothyroxine 100 mcg PO to a client who has hypothyroidism. Available is levothyroxine 50 mcg tablets. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies.(Do not use a trailing zero.)
Correct Answer: 1 tablet
Rationale: 100 mcg ÷ 50 mcg/tablet = 2 tablets. The nurse should administer 2 tablets.
A nurse is reinforcing dietary instructions with a client who has episodes of biliary colic from chronic cholecystitis. Which of the following diets should the nurse reinforce in the teaching plan?
- A. A high protein diet.
- B. A high fiber diet.
- C. A low sodium diet.
- D. A low fat diet.
Correct Answer: D
Rationale: A low fat diet is recommended for clients with biliary colic from chronic cholecystitis as it reduces the workload on the gallbladder and decreases the risk of gallstone formation.
A nurse is caring for a client who is 12 hours postoperative following a transurethral resection of the prostate (TURP) and has a 3-way urinary catheter with continuous irrigation. The nurse notes there has not been any urinary output in the last hour. Which of the following actions should the nurse perform first?
- A. Determine the patency of the tubing.
- B. Notify the provider.
- C. Administer a prescribed analgesic.
- D. Offer oral fluids.
Correct Answer: A
Rationale: Determining tubing patency is the first action to check for blockages, preventing complications like bladder distention.
A nurse is preparing to administer levothyroxine 275 mcg PO to a client. The amount available is levothyroxine 137 mcg/tablet. How many tablets should the nurse administer?
- B. 1 tablet
- C. 3 tablets
- D. 4 tablets
Correct Answer: 2 tablets
Rationale: 275 mcg ÷ 137 mcg/tablet = 2.007 tablets, rounded to 2 tablets.