While reviewing a patient's medication record, the critical care nurse would be concerned about which drugs that have been implicated in the development of renal failure? Note: Credit will be given only if all correct choices and no incorrect
choices are selected. Select all that apply. 1. Cyclosporine
2. Contrast media
3. Aminoglycosides
4. Antiseizure medications
5. Nonsteroidal anti-inflammatory drugs (NSAIDs)
1,2,3,5
Rationale 1: Cyclosporine has been implicated in the development of renal failure.
Rationale 2: Contrast media been implicated in the development of renal failure.
Rationale 3: Aminoglycosides have been implicated in the development of renal failure.
Rationale 4: Antiseizure medications are not nephrotoxic.
Rationale 5: NSAIDs have been implicated in the development of renal failure.
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A nurse is caring for a client who is receiving naloxone intravenously. The client develops acute pain while the drug is being administered. Which of the following would most likely explain the client's pain level?
A) The drug was administered as too rapid a dose. B) The client's pain wasn't controlled before the administration of naloxone. C) The change in respiratory status has caused the increase in pain. D) The dosage of the naloxone was too small.
A new mother is concerned because she notices a white, milky discharge from her newborn's nipples. The nurse explains:
A) This is an abnormal finding and the drainage will be cultured. B) This is an abnormal finding and may be indicative of diabetes. C) This is a normal finding and will disappear in a few days. D) This is a normal finding and will disappear when the mother stops breastfeeding.
A patient with a history of renal calculi has fever, flank pain, and bacteriuria. The nurse caring for this patient understands that it is important for the provider to:
a. begin antibiotic therapy after urine culture and sensitivity results are available. b. give prophylactic antibiotics for 6 weeks after the acute infection has cleared. c. initiate immediate treatment with broad-spectrum antibiotics. d. refer the patient for intravenous antibiotics and hospitalization.
The nurse is using the PLISSIT model when discussing sexual health with a client. Which would be an appropriate comment for the SS portion of PLISSIT?
A) "If you were to use the pill, the cost of the pill will be $5.00 per month." B) "The typical signs and symptoms include nausea and vomiting." C) "Keeping sexual secrets can hurt a healthy relationship." D) "Some people practice birth control, while others choose not to. It is an individual choice."