The nurse is reviewing a client's current medication list for those that can be nephrotoxic. Which of the following medications can be nephrotoxic? (Select all that apply.)
1. Amphotericin B
2. Chloroquine
3. Erythromycin
4. Gentamicin
5. Tobramycin
6. Vancomycin
1, 4, 5, 6
Potentially nephrotoxic drugs are amikacin, gentamicin, amphotericin B, sulfonamides, tobramycin, vancomycin, chemotherapeutic agents, contrast medium, ethylene glycol, nonsteroidal anti-inflammatory drugs (NSAIDs), gold, and other heavy metals. Chloroquine and Erythromycin are not nephrotoxic medications.
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A child is admitted to the hospital unit with physical injuries. The nurse is taking the child's history. The statement by the parent that would be most suspicious for abuse is:
1. "I did not realize that my baby was able to roll over yet, and I was just gone a minute to check on dinner when the baby rolled off of the couch and onto our tile floor." 2. "The baby's 18-month-old brother was trying to pull the baby out of the crib and dropped the baby on the floor." 3. "I placed the baby in the infant swing. His 6-year-old brother was running through the house and tripped over the swing, causing it to fall." 4. "I was walking up the steps and slipped on the ice, falling while carrying my baby."
The most common contributing factor to the development of delirium in critically ill patients is
a. sensory overload. c. electrolyte disturbances. b. hypoxemia. d. sleep deprivation.
Inhibition of P-glycoprotein by a drug such as quinidine may lead to:
1. Decreased therapeutic levels of quinidine 2. Increased therapeutic levels of quinidine 3. Decreased levels of a coadministered drug, such as digoxin, that requires P-glycoprotein for absorption and elimination 4. Increased levels of a coadministered drug, such as digoxin, that requires P-glycoprotein for absorption and elimination
The nurse assists with admission of a patient to the hospital with pancreatitis and a history of alcohol abuse. Why should the nurse observe the patient for agitation, tremors, and hallucinations?
a. These are symptoms of alcohol withdrawal. b. These symptoms indicate possible cirrhosis of the liver. c. The patient may be using alcohol in the hospital setting. d. Patients with a history of alcohol abuse are at risk for mental illness.