Nokea
The nurse seeks to assess the renal function of an elderly client who is about to receive a nephrotoxic medication. Which of the following labs provides the best indicator for renal function?
- A. urinalysis
- B. creatinine and blood urea nitrogen
- C. chemistry of electrolytes
- D. creatinine clearance
Correct Answer: D
Rationale: Due to decreases in lean body mass, blood creatinine is not as good an indicator of the elderly client's renal function as creatinine clearance. Creatinine clearance is a widely used test for glomerular filtration rate.
You may also like to solve these questions
The nurse is evaluating the performance of the UAP. The nurse should provide feedback to the UAP about which unsafe action?
- A. Cleanses and returns a wheelchair to a storage area after being used by the client.
- B. Ties the bedridden client's wrist restraint ties to the bed frame using a quick-release knot.
- C. Grasps the cord to unplug an intravenous infusion pump for the client's transport to x-ray.
- D. Turns on a bed exit alarm for the confused client who was talking incoherently to the UAP.
Correct Answer: C
Rationale: Grasping the cord to unplug the pump can damage the cord, increasing the risk of electrical shock, requiring feedback to the UAP.
The nurse is assessing a client who states her last menstrual period was March 16, and she has missed one period. She reports episodes of nausea and vomiting. Pregnancy is confirmed by a urine test. What will the nurse calculate as the estimated date of delivery (EDD)?
- A. 8-Apr
- B. 15-Jan
- C. 11-Feb
- D. 23-Dec
Correct Answer: D
Rationale: December 23. Naegele's rule states: Add 7 days and subtract 3 months from the first day of the last regular menstrual period to calculate the estimated date of delivery.
After an explosion at a factory one of the employees approaches the nurse and says 'I am an unlicensed assistive personnel (UAP) at the local hospital.' Which of these tasks should the nurse assign first to this worker who wants to help care for the wounded workers?
- A. Get temperatures
- B. Take blood pressure
- C. Palpate pulses
- D. Check alertness
Correct Answer: C
Rationale: Palpate pulses. The heart rates would indicate if the client is in shock or has potential for shock. If the pulses could not be palpated, those clients would need to be seen first.
Which of these actions should the nurse perform first when a client is admitted with a diagnosis of C-difficile?
- A. Initiate contact precautions
- B. Administer prescribed antibiotics
- C. Obtain a stool culture
- D. Educate the client about hand hygiene
Correct Answer: A
Rationale: Initiating contact precautions is the first step to prevent the spread of C-difficile, which is highly contagious through contact with contaminated surfaces or feces.
The client with dementia and confusion is transferred from the hospital to the nursing home. The client's family has not yet arrived at the nursing home. Which direction is appropriate for the RN to provide to the LPN?
- A. "Take a photograph of the new resident; it is needed to administer medications."
- B. "Place the person in a wheelchair near the nurse's station until the family arrives."
- C. "Help the new resident change into clothing with Velcro closures for easy removal."
- D. "Perform a full-body assessment and document this in the resident's medical record."
Correct Answer: B
Rationale: Placing the client near the nurse's station ensures supervision and safety for a client with dementia, who is at risk for falling or wandering.