Free NCLEX-RN Exam Braindumps (page: 94)

Page 94 of 431

In evaluating the laboratory results of a client with severe pressure ulcers, the nurse finds that her albumin level is low. A decrease in serum albumin would contribute to the formation of pressure ulcers because:

  1. The proteins needed for tissue repair are diminished.
  2. The iron stores needed for tissue repair are inadequate.
  3. A decreased serum albumin level indicates kidney disease.
  4. A decreased serum albumin causes fluid movement into the blood vessels, causing dehydration.

Answer(s): A

Explanation:

(A) Serum albumin levels indicate the adequacy of protein stores available for tissue repair. (B) Serum albumin does not measure iron stores. (C) Serum albumin levels do not measure kidney function. (D) A decreased serum albumin level would cause fluid movement out of blood vessels, not into them.



In evaluating the laboratory results of a client with severe pressure ulcers, the nurse finds that her albumin level is low. A decrease in serum albumin would contribute to the formation of pressure ulcers because:

  1. The proteins needed for tissue repair are diminished.
  2. The iron stores needed for tissue repair are inadequate.
  3. A decreased serum albumin level indicates kidney disease.
  4. A decreased serum albumin causes fluid movement into the blood vessels, causing dehydration.

Answer(s): A

Explanation:

(A) Serum albumin levels indicate the adequacy of protein stores available for tissue repair. (B) Serum albumin does not measure iron stores. (C) Serum albumin levels do not measure kidney function. (D) A decreased serum albumin level would cause fluid movement out of blood vessels, not into them.



A dose of theophylline may need to be altered if a client with COPD:

  1. Is allergic to morphine
  2. Has a history of arthritis
  3. Operates machinery
  4. Is concurrently on cimetidine for ulcers

Answer(s): D

Explanation:

(A) The effects of morphine or an allergic response to the drug will not affect theophylline clearance. (B) Xanthines are used cautiously in clients with severe cardiac disease, liver disease, cor pulmonale, hypertension, or hyperthyroidism. Arthritis does not influence the dosage of theophylline. (C) Theophylline does not cause sedation or drowsiness. Conversely, its side effects may be exhibited by central nervous system stimulation. (D) Cimetidine decreases theophylline clearance from the system and increases theophylline levels in the blood, thus increasing the risk of toxicity.



A dose of theophylline may need to be altered if a client with COPD:

  1. Is allergic to morphine
  2. Has a history of arthritis
  3. Operates machinery
  4. Is concurrently on cimetidine for ulcers

Answer(s): D

Explanation:

(A) The effects of morphine or an allergic response to the drug will not affect theophylline clearance. (B) Xanthines are used cautiously in clients with severe cardiac disease, liver disease, cor pulmonale, hypertension, or hyperthyroidism. Arthritis does not influence the dosage of theophylline. (C) Theophylline does not cause sedation or drowsiness. Conversely, its side effects may be exhibited by central nervous system stimulation. (D) Cimetidine decreases theophylline clearance from the system and increases theophylline levels in the blood, thus increasing the risk of toxicity.



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