A client has renal insufficiency and is taking multiple medications. The nurse understands that:
a. This can effect how the medications are distributed in the body.
b. As long as the client's liver function is normal, no adjustment in dosage is required.
c. The client should stop all medications until renal function improves.
d. The client may need to have lower dosages, because of the risk of accumulation of the medications.
ANS: D
Feedback
A Incorrect: Renal insufficiency affects elimination, not distribution of medications.
B Incorrect: Even with unimpaired liver function, the dosages may need to be decreased to prevent cumulative effects of medications secondary to lack of normal renal elimination function.
C Incorrect: This action will put the client at risk, which could be life-threatening.
D Correct: The kidneys are the primary route of drug elimination, so for this client, decreased dosages may be required to prevent cumulative effects of medications.
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