The nurse obtains a blood specimen for peak and trough levels and the client asks the nurse about the purpose of the test. The best information for the nurse to include in client teaching is that the test:
1. Measure the client's response to therapy
2. Rate a client's liver and kidney function
3. Indicate a potential for hypersensitivities
4. Quantify drug levels at specific intervals
4
4 and 1. Peak and trough levels measure the serum drug levels and compare the re-sults to predetermined, therapeutic ranges. At the same time, the nurse reviews other laboratory and diagnostic testing results with the client assessment to determine the effectiveness of therapy.
2. Specific hepatic function and renal function tests help to evaluate liver and kidney function.
3. Skin testing is used to determine hypersensitivity reactions.
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The nurse is preparing to cleanse an older patient's abdominal wound. Which techniques should the nurse use to perform this action? Standard Text: Select all that apply
1. Pour saline over the wound. 2. Apply saline-soaked gauze over the wound. 3. Squeeze a saline-filled syringe over the wound. 4. Place gauze pads soaked with hydrogen peroxide on the wound. 5. Apply dry gauze pads over the wound and saturate with sterile water.
The nurse reading the laboratory reports for a patient with acute hepatitis is aware that an indicator supporting this diagnosis is:
a. elevated aspartate aminotransferase (AST). b. decreased alanine aminotransferase (ALT). c. decreased ?-glutamyl transpeptidase (GGT). d. increased prothrombin time.
A patient starting cardiac rehabilitation will work with the rehabilitation team to meet all of the following goals except:
1. Taking control of his life through healthy choices 2. Managing symptoms by monitoring exercise 3. Reducing risks by controlling the modifiable risk factors 4. Stabilizing any severe depression that developed post-MI
A patient is diagnosed with a grade II astrocytoma. The nurse realizes that this patient's prognosis is:
1. Excellent 2. Good as long as the tumor is treated soon 3. Good because the tumor is well defined 4. Poor because the tumor cells are irregularly shaped