Author Question: The nurse is reviewing the serum creatinine laboratory results for a group of patients. The nurse ... (Read 104 times)

dmcintosh

  • Hero Member
  • *****
  • Posts: 517
The nurse is reviewing the serum creatinine laboratory results for a group of patients. The nurse identifies which patients as being at risk for having falsely altered serum creatinine levels?
 
  Select all that apply.
  1. patient with rhinovirus taking 10,000 mg of vitamin C daily
  2. patient with Parkinson disease and a prescription for methyldopa
  3. patient with bipolar disorder and a prescription for lithium carbonate
  4. patient with acne vulgaris and a prescription for tetracycline
  5. patient with insomnia taking over-the-counter melatonin

Question 2

The nurse suspects a patient is experiencing a distended bladder. Which patient statement did the nurse use to make this determination?
 
  1. I am in pain, and it is worse when I press on my abdomen.
  2. My back is killing me.
  3. It feels like someone is stabbing me in the abdomen with a knife.
  4. It hurts constantly with spasms once in a while.



vkodali

  • Sr. Member
  • ****
  • Posts: 357
Answer to Question 1

Correct Answer: 1, 2, 3
For the serum creatinine level, assess the patient's medications because values may be affected by ascorbic acid, methyldopa, and lithium carbonate. Tetracycline and melatonin are not identified as affecting the serum creatinine level.

Answer to Question 2

Correct Answer: 1
The patient with a distended bladder experiences constant pain increased by any pressure over the bladder. Kidney pain is experienced in the back and the costovertebral angle (the angle between the lower ribs and adjacent vertebrae) and may spread toward the umbilicus. Renal colic (pain in response to renal calculi moving through the ureter) is severe, sharp, stabbing, and excruciating; often it is felt in the flank, bladder, urethra, testes, or ovaries. Bladder and urethral pain is usually dull and continuous but may be experienced as spasms.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
 

Did you know?

In ancient Rome, many of the richer people in the population had lead-induced gout. The reason for this is unclear. Lead poisoning has also been linked to madness.

Did you know?

Patients who have undergone chemotherapy for the treatment of cancer often complain of a lack of mental focus; memory loss; and a general diminution in abilities such as multitasking, attention span, and general mental agility.

Did you know?

Barbituric acid, the base material of barbiturates, was first synthesized in 1863 by Adolph von Bayer. His company later went on to synthesize aspirin for the first time, and Bayer aspirin is still a popular brand today.

Did you know?

As the western states of America were settled, pioneers often had to drink rancid water from ponds and other sources. This often resulted in chronic diarrhea, causing many cases of dehydration and death that could have been avoided if clean water had been available.

Did you know?

Interferon was scarce and expensive until 1980, when the interferon gene was inserted into bacteria using recombinant DNA technology, allowing for mass cultivation and purification from bacterial cultures.

For a complete list of videos, visit our video library