A 34-year-old man has been taking up to 2400 mg of ibuprofen per day following a motor vehicle accident several months ago and consequent chronic pain
He has recently been diagnosed with chronic analgesic nephritis as a result of his high analgesic intake. The man is surprised at the diagnosis stating, "I thought that taking too many drugs hurts your liver if anything, not your kidneys." What is the most appropriate response to the man's statement?
A)
"Your liver does perform most of the detoxification in your body, but your kidneys can perform this role if the liver is unable to."
B)
"High drug intake can cause your kidneys to be very vulnerable to infections, which is likely what happened in your case."
C)
"Your kidneys are vulnerable to damage because of how much blood flows through them and the fact that they break down many drugs."
D)
"It is very rare for someone as young as yourself to have kidney damage like this; usually only older people are vulnerable to kidney damage from drugs."
Ans:
C
Feedback:
High flow and pressure combined with the metabolic transformative of drugs make the kidneys vulnerable to drug toxicity. They do not play a backup role to the liver in the metabolism of drugs, and while structural and functional damage may occur with drug overuse, infection is a less likely consequence. The elderly are particularly vulnerable to drug-related nephritis and nephropathies, but it would be incorrect to conclude that younger people are thus immune.
You might also like to view...
Part of the care given to rehabilitation patients is teaching them different ways to exercise their limbs, no matter what the patient is rehabbing for. You are the nurse assisting a stroke patient to exercise
You are coaching the patient to contract and relax her muscles while keeping the extremity in a fixed position. Which type of exercise is the patient completing? A) Passive B) Isometric C) Resistive D) Abduction
The nurse informs the patient that the frequency of range-of-motion (ROM) exercises should be:
a. once a day. b. once in the morning and once in the af-ternoon. c. 3 to 4 times a day. d. 4 to 6 times a day.
The child with Duchenne muscular dystrophy must push on his or her legs and "walk up the leg" in order to rise to a standing position. The nurse recognizes this characteristic behavior as the __________ maneuver
Fill in the blank(s) with correct word
Which initial treatment prescribed should the nurse anticipate for the client that has overdosed on hydrochlorothiazide?
A. Electrolyte replacement B. Intravenous normal saline C. Vasopressor D. Furosemide (Lasix)