NCLEX RN Practice Questions Exam Cram - Nurselytic

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Question 1 of 5

Application - The nurse is caring for a patient who has the following labs: Creatinine 2.5mg/dL, WBC 11,000 cells/mL, and Hemoglobin of 12 g/dL. Based on this information, which of these orders would the nurse question?

Correct Answer: B

Rationale: The correct answer is to question the order for a CT of the spine with contrast. The patient's elevated creatinine level of 2.5mg/dL indicates impaired kidney function. Contrast agents are nephrotoxic and can further compromise kidney function in patients with existing nephropathy.
Therefore, it is crucial to avoid contrast-enhanced imaging studies in patients with impaired renal function.

Choice A: Administering 30 Units of Lantus Daily is not contraindicated based on the provided lab values.

Choice C: Ordering an X-ray of the abdomen and chest is not contraindicated based on the provided lab values.

Choice D: Administering heparin subcutaneously at 5,000 Units every 12 hours is not contraindicated based on the provided lab values.

Question 2 of 5

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Question 3 of 5

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Question 4 of 5

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Question 5 of 5

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