A nurse is preparing to administer memantine [Nemanda] to a patient and notes a slight elevation in the patient's creatinine clearance level. What will the nurse expect the provider to order for this patient?
a. Adding sodium bicarbonate to the pa-tient's drug regimen
b. Continuing the memantine as ordered
c. Discontinuing the memantine
d. Reducing the dose of memantine
D
Patients with severe renal impairment may require a dosage reduction. Adding sodium bicarbo-nate would alkalinize the urine and increase memantine levels, causing toxicity. It is not neces-sary to discontinue or decrease the dose of the memantine with mild or moderate renal impair-ment.
You might also like to view...
Clients who experience sexual assault often experience increased rates of mental disorder. Which risk factor would apply to a client who was sexually assaulted?
1. Physical environment 2. Social environment 3. Social class 4. Ethnicity
The conflict management technique where one side gives in to the other side (also referred to as smoothing or cooperating) is called:
a. collaborating c. accommodating b. compromising d. negotiating
IV infusion devices may continue to function properly, even though the site is infiltrated
Indicate whether the statement is true or false.
The nurse is preparing to assessment a toddler client. Which activities would gain cooperation from the toddler?
1. Asking the parents to wait outside 2. Allowing the client to sit in the parent's lap 3. Administering vaccinations prior to the assessment 4. Handing the client a stethoscope while taking the health history 5. Making a game out of the assessment process