A client is receiving an antibiotic with the potential for nephrotoxicity. Which item should the nurse should plan to monitor?

1. Urinary concentration of the drug
2. Route of drug administration
3. Plasma levels of the drug
4. Rate of intravenous administration


Correct Answer: 3
Rationale 1: The urinary concentration of a drug will not provide an accurate measurement of nephrotoxicity.
Rationale 2: The route of administration will not determine nephrotoxicity.
Rationale 3: Plasma levels of a drug are an indicator of whether a drug is at a therapeutic or toxic level, and provide information as to whether a drug dosage needs adjustment.
Rationale 4: Although the rate at which a drug is administered intravenously can affect plasma levels and irritation to the vein, it would not provide the best measure of nephrotoxicity.
Global Rationale: Plasma levels of a drug are an indicator of whether a drug is at a therapeutic or toxic level, and provide information as to whether a drug dosage needs adjustment. The urinary concentration of a drug will not provide an accurate measurement of nephrotoxicity. The route of administration will not determine nephrotoxicity. Although the rate at which a drug is administered intravenously can affect plasma levels and irritation to the vein, it would not provide the best measure of nephrotoxicity.

Nursing

You might also like to view...

The client has been admitted to the healthcare facility with pneumonia. Which constituent of blood destroys pathogens and develops immunity to diseases?

A) Platelets B) Thrombocytes C) Erythrocytes D) Leukocytes

Nursing

A nurse is catheterizing a 45-year-old hospitalized client. Which guidelines should a nurse follow when carrying out this technique?

A) Sterile items are free of all microorganisms, but not spores. B) Sterile articles should not be touched with unsterile ones. C) Catheterization procedure requires clean equipment. D) Gloves should be washed with soap if they become unsterile.

Nursing

A community health nurse is preparing a presentation about drug use and abuse for a group of adults. Which of the following would the nurse include as the one of the fastest growing forms of drug abuse?

A) Cocaine B) Alcohol C) Prescription drugs D) Heroin

Nursing

MC The best description of a population nursing diagnosis includes: (Select all that apply.)

A. Population strengths. B. Potential threats to health. C. Population competencies. D. Existing threats to health. E. Emerging threats to health.

Nursing