Four patients arrive at the emergency department. All have attempted suicide by overdosing on medication. Which patient will the nurse plan to transfer to the renal failure unit?
1. The patient who overdosed on lorazepam (Ativan)
2. The patient who overdosed on amitriptyline (Elavil)
3. The patient who overdosed on ibuprofen (Advil)
4. The patient who overdosed on quetiapine (Seroquel)
3
Rationale 1: An overdose of lorazepam (Ativan) will result in CNS depression, not nephrotoxicity.
Rationale 2: Amitriptyline (Elavil) is cardiotoxic, not nephrotoxic.
Rationale 3: NSAIDs, such as ibuprofen, are nephrotoxic drugs.
Rationale 4: An overdose of quetiapine (Seroquel) will result in CNS depression, not nephrotoxicity.
Global Rationale: NSAIDs, such as ibuprofen, are nephrotoxic drugs. Amitriptyline (Elavil) is cardiotoxic, not nephrotoxic. An overdose of lorazepam (Ativan) will result in CNS depression, not nephrotoxicity. An overdose of quetiapine (Seroquel) will result in CNS depression, not nephrotoxicity.
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