A patient with a baseline creatinine of 2.3 mg/dL is scheduled for a CT scan of the abdomen with contrast. In preparing this patient for the procedure, the nurse anticipates which of the following orders?
A) Monitor the patient's electrolyte values every hour before the procedure
B) Preprocedure hydration and administration of acetylcysteine
C) Hemodialysis immediately prior to the CT scan
D) Obtain a creatinine clearance by collecting a 24-hour urine specimen
Ans: B
Feedback: Radiocontrast-induced nephropathy is a major cause of hospital-acquired acute renal failure. Baseline levels of creatinine greater than 2 mg/dL identify the patient as being high risk. Preprocedure hydration and administration of acetylcysteine (Mucomyst) the day prior to the test is effective in prevention.
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The statement showing that the nurse has empathy for a client who has recently made a suicide
attempt is a. "It makes me sad to see you going through such anguish.". b. "If you tell me what is troubling you, I will be glad to speak to the doctor for you.". c. "You must have been very upset to do what you did today.". d. "Suicide is a drastic solution to a problem that may not be a matter of life or death at all.".
The nurse researcher wants to avoid bias stemming from participants' awareness of group status or study hypotheses. What is this called?
1) Attention control 2) Stratification 3) Masking 4) Blinding A) 1, 2 B) 1, 3 C) 2, 4 D) 3, 4
Which of the following drug categories commonly prescribed for hyperlipidemia should not be given if the triglycerides are over 400 mg/dL?
a. Folic acid derivatives c. HMG-CoA reductase Inhibitors b. Bile acid sequestrants d. Folic acid derivatives
After an education class, the nurse overhears an adolescent woman discussing safe sex practices
Which of the following comments by the young woman indicates that additional teaching about sexually transmitted infection (STI) control issues is needed? a. "I could get an STI even if I just have oral sex." b. "Girls over 16 are less likely to get STDs than younger girls." c. "The best way to prevent an STI is to use a diaphragm." d. "Girls get human immunodeficiency virus (HIV) easier than boys do."