ATI LPN
Renal System Questions Quizlet Questions
Question 1 of 5
A nurse plans care for an older adult client. Which interventions should the nurse include in this client's plan of care to promote kidney health? (Select all that apply.)
Correct Answer: A
Rationale: Fluids, lighting, hygiene, and monitoring prevent kidney issues in older adults.
Question 2 of 5
The nurse is caring for a patient who is receiving an intravenous antibiotic. The patient has a serum drug trough of $1.5 \mathrm{mcg} / \mathrm{mL}$. The normal trough for this drug is $1.7 \mathrm{mcg} / \mathrm{mL}$ to $2.2 \mathrm{mcg} / \mathrm{mL}$. What will the nurse expect the patient to experience?
Correct Answer: A
Rationale: Below-normal trough levels suggest inadequate drug effects due to insufficient concentration.
Question 3 of 5
A female patient who is allergic to penicillin will begin taking an antibiotic to treat a lower respiratory tract infection. The patient tells the nurse that she almost always develops a vaginal yeast infection when she takes antibiotics and that she will take fluconazole (Diflucan) with the antibiotic being prescribed. Which macrolide order would the nurse question for this patient?
Correct Answer: C
Rationale: Erythromycin with fluconazole increases cardiac risk, prompting the nurse to question it.
Question 4 of 5
The nurse is caring for a patient who is ordered to receive PO trimethoprim-sulfamethoxazole (TMP-SMX) 160/800 QID to treat a urinary tract infection caused by E. coli. The nurse will contact the provider to clarify the correct
Correct Answer: C
Rationale: TMP-SMX is typically BID, not QID, needing clarification for correct frequency.
Question 5 of 5
Regarding renal handling of bicarbonate ion, which statement is INCORRECT?
Correct Answer: D
Rationale: Bicarbonate is not actively secreted; it is reabsorbed via hydrogen ion exchange.