A nurse contacts the health care provider after reviewing a client's laboratory results and noting a blood urea nitrogen (BUN) of $35 \mathrm{mg} / \mathrm{dL}$ and a creatinine of $1.0 \mathrm{mg} / \mathrm{dL}$. For which action should the nurse recommend a prescription?

Questions 46

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Questions on the Urinary System Questions

Question 1 of 5

A nurse contacts the health care provider after reviewing a client's laboratory results and noting a blood urea nitrogen (BUN) of $35 \mathrm{mg} / \mathrm{dL}$ and a creatinine of $1.0 \mathrm{mg} / \mathrm{dL}$. For which action should the nurse recommend a prescription?

Correct Answer: A

Rationale: Elevated BUN with normal creatinine suggests dehydration, indicating a need for IV fluids.

Question 2 of 5

A nurse assesses a male client who is recovering from a urologic procedure. Which assessment finding indicates an obstruction of urine flow?

Correct Answer: B

Rationale: Overflow incontinence suggests urine flow obstruction post-urologic procedure.

Question 3 of 5

The nurse is preparing to administer amoxicillin (Amoxil) to a patient and learns that the patient previously experienced a rash when taking penicillin. Which action will the nurse take?

Correct Answer: C

Rationale: Prior penicillin rash suggests allergy, so a different antibiotic class is safer to use.

Question 4 of 5

The nurse is caring for a patient who will begin taking doxycycline to treat an infection. The nurse should plan to give this medication

Correct Answer: C

Rationale: Doxycycline absorption improves with food, unlike other tetracyclines.

Question 5 of 5

A child who weighs $10 \mathrm{~kg}$ will begin taking oral trimethoprim-sulfamethoxazole (TMP-SMX). The liquid preparation contains $40 \mathrm{mg}$ of TMP and $200 \mathrm{mg}$ of SMX per $5 \mathrm{~mL}$. The nurse determines that the child's dose should be $8 \mathrm{mg}$ of TMP and $40 \mathrm{mg}$ of SMX/kg/day divided into two doses. Which order for this child is correct?

Correct Answer: A

Rationale: 5 mL BID delivers correct TMP/SMX dose for $10 \mathrm{~kg}$, matching calculation.

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