The nurse is caring for a client who is taking a drug known to cause nephrotoxicity. Which interventions are appropriate to prevent drug-induced nephrotoxicity?
1. Encouraging hydration
2. Monitoring diagnostic lab tests for changes in kidney function
3. Identifying drugs that affect kidneys and discuss adjusting doses
4. Determining whether the client has kidney impairment
5. Providing proper nutrition
Correct Answer: 1,2,3,4
Rationale 1: Encouraging proper hydration will help to protect the kidneys by improving excretion of drugs.
Rationale 2: It is important to monitor lab tests for any indication that a nephrotoxic drug is having an adverse effect on the kidneys.
Rationale 3: It is important to recognize drugs that affect the kidneys, monitor lab values, and adjust doses if needed.
Rationale 4: Identifying present kidney impairment will allow the provider to adjust any nephrotoxic drug doses, which will minimize the strain on the kidney.
Rationale 5: Providing proper nutrition will not prevent drug-induced kidney problems.
Global Rationale: Providing proper nutrition will not prevent drug-induced kidney problems. Encouraging proper hydration will help to protect the kidneys by improving excretion of drugs. It is important to monitor lab tests for any indication that a nephrotoxic drug is having an adverse effect on the kidneys. It is important to recognize drugs that affect the kidneys, monitor lab values, and adjust doses if needed. Identifying present kidney impairment will allow the provider to adjust any nephrotoxic drug doses, which will minimize the strain on the kidney.
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