This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A nurse is caring for an elderly patient on multiple medications. The nurse suspects that ... (Read 73 times)

biggirl4568

  • Hero Member
  • *****
  • Posts: 551
on: Jul 23, 2018
A nurse is caring for an elderly patient on multiple medications. The nurse suspects that age-related toxicity may have developed. Which laboratory/diagnostic test would provide the best indication of renal function?
 
  a. Creatinine clearance
  b. Renal biopsy
  c. Urinalysis
  d. Blood urea nitrogen

Question 2

A patient reports awakening at 1 AM after only 2 hours of sleep and is unable to return to sleep for several hours. The patient is becoming increasingly anxious and requests a sleeping medica-tion that will not cause a hangover.
 
  The nurse would anticipate the prescriber to order which one of the following drugs? a. Zolpidem (Ambien)
  b. Zaleplon (Sonata)
  c. Flurazepam (Dalmane)
  d. Trazodone (Desyrel)


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

nixon_s

  • Sr. Member
  • ****
  • Posts: 359
Reply #1 on: Jul 23, 2018
Answer to Question 1

A
The proper index of renal function in the elderly is creatinine clearance.
A renal biopsy would not be indicated as an index of renal function without other initial labora-tory/diagnostic testing.
A urinalysis analyzes urine, not renal function.
Blood urea nitrogen can evaluate renal function; however, it also can be altered by other factors, such as hydration status; therefore, it is not the best indicator of renal function.

Answer to Question 2

B
Zaleplon does not produce next day sedation or a hangover feeling and therefore would be the expected medication for the prescriber to order.
Zolpidem, flurazepam, and trazodone may cause next day sedation and/or a hangover feeling and therefore would not be appropriate for this patient.


biggirl4568

  • Member
  • Posts: 551
Reply 2 on: Jul 23, 2018
Wow, this really help

rachel

  • Member
  • Posts: 323
Reply 3 on: Yesterday
Excellent

« previous next »
 

Did you know?

It is believed that the Incas used anesthesia. Evidence supports the theory that shamans chewed cocoa leaves and drilled holes into the heads of patients (letting evil spirits escape), spitting into the wounds they made. The mixture of cocaine, saliva, and resin numbed the site enough to allow hours of drilling.

Did you know?

About 600,000 particles of skin are shed every hour by each human. If you live to age 70 years, you have shed 105 pounds of dead skin.

Did you know?

Vaccines cause herd immunity. If the majority of people in a community have been vaccinated against a disease, an unvaccinated person is less likely to get the disease since others are less likely to become sick from it and spread the disease.

Did you know?

Anesthesia awareness is a potentially disturbing adverse effect wherein patients who have been paralyzed with muscle relaxants may awaken. They may be aware of their surroundings but unable to communicate or move. Neurologic monitoring equipment that helps to more closely check the patient's anesthesia stages is now available to avoid the occurrence of anesthesia awareness.

Did you know?

The eye muscles are the most active muscles in the whole body. The external muscles that move the eyes are the strongest muscles in the human body for the job they have to do. They are 100 times more powerful than they need to be.

Taking a Patient's Blood Pressure Taking a Patient's Blood Pressure
The physician will begin visual inspection of the patient immediately upon entering the examination ... The physician will begin visual inspection of the patient immediately upon entering the examination ...
Withdrawing Medication from Single-Dose or Multiple-Dose Vials Withdrawing Medication from Single-Dose or Multiple-Dose Vials
A patient undergoing hemodialysis. A patient undergoing hemodialysis.
Chest X-ray of a patient with emphysema. Chest X-ray of a patient with emphysema.
Edentulous patient with pieces of bone that became necrotic and continued to slough off after tooth ... Edentulous patient with pieces of bone that became necrotic and continued to slough off after tooth ...
Video: Contraction cycle of a sarcomere

For a complete list of videos, visit our video library