The nurse administers an antibiotic and naproxen to an older woman. Which laboratory test result should the nurse monitor to gauge the older adult's response to the medication?
a. Urine creatinine c. Serum creatinine
b. Indirect bilirubin d. Total hemoglobin
A
Antibiotics and nonsteroidal antiinflammatory agents such as naproxen can cause kidney damage from various mechanisms; thus the nurse monitors the urine creatinine because it reflects the system's ability to clear waste products and is especially important for gauging appropriate me-dication administration. Unconjugated (indirect) bilirubin reflects the liver's ability to conjugate serum bilirubin. Serum creatinine, also a reflection of renal function, usually remains stable throughout life. Older adults may have changes in hemoglobin and erythrocyte synthesis caused by changes in iron and vitamin B12 absorption.
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Which efforts suggested by researchers in patient education are useful for nurses to follow to increase a patient's medication compliance?
a. Short verbal responses are easy to learn. b. Limited visual material with more verbal responses may be helpful. c. Flash cards are very useful for visualization. d. A variety of teaching methods, including written information and audiotapes, are useful.
Which elements should be included in the title of a research study?
1. The last name of the lead researcher. 2. The potential effects of the study. 3. The planned impact of the study. 4. Descriptive information about the population of the study.
Long-term health care facilities are the center of treatment for people who are: (Select all that apply.)
a. recovering after the most acute phase of their illness is over. b. receiving rehabilitation after a joint re-placement. c. too weak from primary illness to care for themselves presently. d. in need of a permanent home because of effects of a chronic condition. e. under treatment for substance abuse.
While evaluating an external monitor tracing of a woman in active labor, the nurse notes that the fetal heart rate (FHR) for five sequential contractions begins to decelerate late in the contraction,
with the nadir of the decelerations occurring after the peak of the contraction. The nurse's first priority is to: a. Change the woman's position. c. Assist with amnioinfusion. b. Notify the care provider. d. Insert a scalp electrode.