The nurse is managing care for a client diagnosed with acute renal failure. What does the nurse recognize as the most important safety precaution with regard to medication administration?
1. Review the client's medication regimen to identify any nephrotoxic drugs.
2. Ensure that the client's fluid intake and output are measured precisely.
3. Review the client's medication regimen to identify any drugs that increase fluid retention.
4. Plan to administer less-than-average doses of all medications prescribed for the client.
Correct Answer: 1
Rationale 1: Persons in acute renal failure are at significantly increased risk of injury from nephrotoxic drugs.
Rationale 2: Ensuring that the client's fluid intake and output are measured precisely is important, but not as important as the threat posed by nephrotoxic drugs.
Rationale 3: Although this is important, it is less important than the threat posed by nephrotoxic drugs.
Rationale 4: Only drugs that are renally excreted need dose reductions in clients with renal failure.
Global Rationale: Persons in acute renal failure are at significantly increased risk of injury from nephrotoxic drugs. Ensuring that the client's fluid intake and output are measured precisely is important, but not as important as the threat posed by nephrotoxic drugs. Although this is important, it is less important than the threat posed by nephrotoxic drugs. Only drugs that are renally excreted need dose reductions in clients with renal failure.
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