Wilm's Tumor meds
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Actinomycin D, vincristine, doxorubin, cyclophosphadmide
A nurse is reviewing the laboratory reports of a client who has acute kidney injury
(AKI). Which of the following findings should the nurse expect? (Select all that apply)
,1. BUN 30 mg/dL
2. Urine output of 40 mL in past 3 hr
3. Potassium 3.6 mEq/L
4. Serum calcium 9.8 mg/dL
5. Hematocrit 30%
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1,2,5
Rationale: this BUN level is elevated, which is an expected finding for a
client who has AKI.
Oliguria with a urine output of 100 to 400 mL per 24 hr is an expected
finding for a client who has AKI.
This potassium level is within the expected reference range. An elevated
potassium level is an expected finding for a client who has AKI.
This serum calcium level is within the expected reference range. A
decreased serum calcium level is an expected finding for a client who has
AKI.
This hematocrit level is decreased, which is an expected finding for a client
who has AKI.
The nurse is reviewing a client's record and notes that the health care provider has
documented that the client has a renal function disorder. On review of the laboratory
results, the nurse most likely would expect to note which finding?
1. Elevated creatinine level
2. Decreased hemoglobin level
3. Decreased red blood cell count
4. Decreased white blood cell count
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, 1. Elevated creatinine level
Rationale: Measuring the creatinine level is a frquently used laboratory test
to determine renal function. The creatinine level increases when at least
50% of renal function is lost. A decreased hemoglobin level and red blood
cell count may be noted if bleeding from the urinary tract occurs or if
erythropoietic function by the kidney is impaired. An increased white blood
cell count is most likely to be noted in renal disease.
A. Ruse caring for a client who has acute kidney injury. Which of the following
laboratory findings should the nurse report to the provider?
1. Serum potassium 5.0 mEq/L
2. Serum calcium 9.0 mg/dL
3. Serum creatinine 4.0 mg/dL
4. Serum amylase 84 IU/L
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3. Serum creatinine 4.0 mg/dL
Rationale: the nurse should report the client's serum creatinine level to the
provider. This finding is outside of the expected reference range.
The client's serum potassium level is within the expected reference range.
The client's serum calcium level is within the expected reference range.
The client's serum amylase level is within the expected reference range.
Phenazopyridine (Pyridium) is prescribed for a client for symptomatic relief of pain
resulting from a lower urinary tract infection. The nurse should provide the client with
which information regarding this medication?
1. Take the medication at bedtime
2. Take the medication before meals
, 3. Discontinue the medication if a headache occurs
4. A reddish orange discoloration of the urine may occur
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4. A reddish orange discoloration of the urine may occur
Rationale: The nurse should instruct the client that a reddish-orange
discoloration of urine may occur. The nurse also should instruct the client
that this discoloration can stain fabric. The medication should be taken after
meals to reduce the possibility of gastrointestinal upset. A headache is an
occasional side effect of the medication and does not warrant
discontinuation of the medication.
The nurse provided discharge instructions to the parents of a 2-year old child who
had orchipexy to correct cryptorchidism. Which statement by the parents indicate that
further teaching is necessary?
1. "I'll check his temperature"
2. "I'll give him medication so he'll be comfortable"
3. I'll check his voiding to be sure there's no problem"
4. I'll let him decide when to return to his play activities"
Give this one a try later!
Give this one a try later!
Actinomycin D, vincristine, doxorubin, cyclophosphadmide
A nurse is reviewing the laboratory reports of a client who has acute kidney injury
(AKI). Which of the following findings should the nurse expect? (Select all that apply)
,1. BUN 30 mg/dL
2. Urine output of 40 mL in past 3 hr
3. Potassium 3.6 mEq/L
4. Serum calcium 9.8 mg/dL
5. Hematocrit 30%
Give this one a try later!
1,2,5
Rationale: this BUN level is elevated, which is an expected finding for a
client who has AKI.
Oliguria with a urine output of 100 to 400 mL per 24 hr is an expected
finding for a client who has AKI.
This potassium level is within the expected reference range. An elevated
potassium level is an expected finding for a client who has AKI.
This serum calcium level is within the expected reference range. A
decreased serum calcium level is an expected finding for a client who has
AKI.
This hematocrit level is decreased, which is an expected finding for a client
who has AKI.
The nurse is reviewing a client's record and notes that the health care provider has
documented that the client has a renal function disorder. On review of the laboratory
results, the nurse most likely would expect to note which finding?
1. Elevated creatinine level
2. Decreased hemoglobin level
3. Decreased red blood cell count
4. Decreased white blood cell count
Give this one a try later!
, 1. Elevated creatinine level
Rationale: Measuring the creatinine level is a frquently used laboratory test
to determine renal function. The creatinine level increases when at least
50% of renal function is lost. A decreased hemoglobin level and red blood
cell count may be noted if bleeding from the urinary tract occurs or if
erythropoietic function by the kidney is impaired. An increased white blood
cell count is most likely to be noted in renal disease.
A. Ruse caring for a client who has acute kidney injury. Which of the following
laboratory findings should the nurse report to the provider?
1. Serum potassium 5.0 mEq/L
2. Serum calcium 9.0 mg/dL
3. Serum creatinine 4.0 mg/dL
4. Serum amylase 84 IU/L
Give this one a try later!
3. Serum creatinine 4.0 mg/dL
Rationale: the nurse should report the client's serum creatinine level to the
provider. This finding is outside of the expected reference range.
The client's serum potassium level is within the expected reference range.
The client's serum calcium level is within the expected reference range.
The client's serum amylase level is within the expected reference range.
Phenazopyridine (Pyridium) is prescribed for a client for symptomatic relief of pain
resulting from a lower urinary tract infection. The nurse should provide the client with
which information regarding this medication?
1. Take the medication at bedtime
2. Take the medication before meals
, 3. Discontinue the medication if a headache occurs
4. A reddish orange discoloration of the urine may occur
Give this one a try later!
4. A reddish orange discoloration of the urine may occur
Rationale: The nurse should instruct the client that a reddish-orange
discoloration of urine may occur. The nurse also should instruct the client
that this discoloration can stain fabric. The medication should be taken after
meals to reduce the possibility of gastrointestinal upset. A headache is an
occasional side effect of the medication and does not warrant
discontinuation of the medication.
The nurse provided discharge instructions to the parents of a 2-year old child who
had orchipexy to correct cryptorchidism. Which statement by the parents indicate that
further teaching is necessary?
1. "I'll check his temperature"
2. "I'll give him medication so he'll be comfortable"
3. I'll check his voiding to be sure there's no problem"
4. I'll let him decide when to return to his play activities"
Give this one a try later!
