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tyeoi tyeoi
wrote...
Posts: 541
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6 years ago
The nurse notes that a client who is in renal failure is taking a drug that is excreted by the kidneys. The nurse is concerned about administering this drug because:
 
  1. the drug might not work on the client.
  2. the drug could accumulate to toxic levels in the blood.
  3. the drug will be excreted in the stool.
  4. the drug will be excreted by the liver.

Question 2

The nurse is preparing to administer medications to a client. Which drug names should the nurse recognize to prevent errors in medication administration?
 
  1. Chemical name and trade name
  2. Chemical name and official name
  3. Trade name and generic name
  4. Official name and generic name

Question 3

The nurse is reviewing data collected during the physical assessment of a 75-year-old client. Which findings should the nurse identify as being age-related changes? (Select all that apply.)
 
  1. Weak heart rate
  2. Stooped posture
  3. Abdominal obesity
  4. Presence of dentures
  5. Decreased bowel sounds

Question 4

The nurse is planning to assess a client's mental status. What should the nurse use to make this assessment?
 
  1. Ability to communicate
  2. Ability to remember recent and past events
  3. Orientation and level of consciousness
  4. Awareness about their surroundings

Question 5

A client is able to breathe more easily in an upright position. How should the nurse document this finding?
 
  1. Orthopnea
  2. Dyspnea
  3. Eupnea
  4. Apnea
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Replies
wrote...
6 years ago
The answer to question 1

Answer: 2

1. The drug of a client in renal failure should work, but due to renal failure, cannot be excreted, and toxic levels will accumulate in the blood.
2. The drug of a client in renal failure should work, but due to renal failure, cannot be excreted, and toxic levels will accumulate in the blood.
3. If the excretion route is faulty, the drug will not be excreted by another route, but will accumulate in the blood.
4. The liver processes all substances taken in to the body; it does not excrete them.

The answer to question 2

Answer: 3

1. Chemical names are often long and difficult to remember. The nurse does need to know the trade name of a drug.
2. The official name of the drug is the name listed in the U.S. Pharmacopeia-National Formulary and might not be the trade name.
3. The nurse needs to be aware of both the trade and generic names for a drug. Many drugs have similar names, and knowing both names increases safety.
4. The official name can be different than the trade name, and therefore is not as reliable as the trade name.

The answer to question 3

Answer: 1, 2, 4, 5

1. Weak heart rate is an age-related change in the cardiac status.
2. Stooped posture is an age-related change in the musculoskeletal status.
3. Abdominal obesity is not an age-related change.
4. Presence of dentures is an age-related change in the oral status.
5. Decreased bowel sounds are an age-related change in the gastrointestinal status.

The answer to question 4

Answer: 3

1. Communication assesses a portion of the client's mental status.
2. Memory assesses only a part of the client's mental status.
3. Mental status is determined by checking both level of awareness (orientation) and the client's state of arousal, or level of consciousness.
4. Level of awareness (orientation) assesses only a part of the client's mental status.

The answer to question 5

Answer: 1

1. Orthopnea is shortness of breath in a reclining position that is relieved by sitting upright.
2. Dyspnea is difficulty breathing.
3. Eupnea is normal breathing.
4. Apnea is absence of breathing.
tyeoi Author
wrote...
6 years ago
I know this sounds cliche, but I was thinking the same thing for each of these. Thanks for confirming Slight Smile
wrote...
6 years ago
I'm sure Wink Face Thanks for your honesty
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