The nurse is reviewing the laboratory results for a patient who ...

[Bernana]

The nurse is reviewing the laboratory results for a patient who has a prescription for an estimated glomerular filtration rate (EGFR). Which information should the nurse identify as being used to determine the estimated glomerular filtration rate?
 
  Select all that apply.
  1. serum creatinine
  2. patient's age
  3. patient's gender
  4. patient's racial origin
  5. serum blood urea nitrogen

Question 2

In formulating the teaching plan for a patient who is taking the oral hypoglycemic agent metformin (Glucophage), the nurse should include which priority instruction? Notify your healthcare provider if
 
  1. you need a diagnostic test that uses iodinated contrast.
  2. your urine becomes orange or red-tinted.
  3. your urine becomes more concentrated.
  4. you need an intermittent or indwelling urinary catheterization.

[otokexnaru]

Answer to Question 1

Correct Answer: 1, 2, 3, 4
The EGFR is calculated based on the serum creatinine, age, gender, and (in some instances) racial origin. Serum blood urea nitrogen results are not utilized for the EGFR.

Answer to Question 2

Correct Answer: 1
Oral hypoglycemic agents are contraindicated for use with iodinated contrast, as the combination of the two can precipitate renal failure. Patients should be taught to inform all healthcare providers if they have a prescription for an oral hypoglycemic agent. Orange or red-tinted urine, concentrated urine, and urinary catheterizations have no interaction with metformin.

[Bernana]

Excellent

[Sarahjh]

Gracias!