The nurse is caring for a patient with suspected kidney dysfunction. In reviewing the patient's home medication list, the nurse is most alerted to which medications? Select all that apply
a. Aspirin
b. Gentamicin
c. Estrogen
d. Ibuprofen
e. Insulin
A, B, D
In caring for patients with kidney disease, the nurse is most alerted to medications that can be nephrotoxic. These medications include gentamicin and high-dose or long-term use of aspirin and ibuprofen. Estrogen is used to improve the blood flow to and thickness in urethral tissues. Estrogen is not FDA approved for treatment of stress incontinence, although it may be prescribed for other reasons. The nurse should not have concern regarding the use of insulin with respect to potential for kidney dysfunction.
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A female patient with giardiasis is taking oral metronidazole. After 3 weeks of therapy, she comes to the clinic for a checkup. Which of the following would be the most important nursing action?
A) Test a stool specimen B) Tell the patient to stop taking the drug if her urine is discolored. C) Test for visual acuity D) Monitor for thrombophlebitis
The nurse is preparing to percuss the lower lobes of a client's lungs. The percussion technique appropriate for this body area would be:
1. direct percussion. 2. blunt percussion. 3. indirect percussion. 4. any of the percussion techniques.
Lack of adherence to blood pressure management is very common. Reasons for this lack of adherence include:
1. Lifestyle changes are difficult to achieve and maintain. 2. Adverse drug reactions are common and often fall into the categories more associated with nonadherence. 3. Costs of drugs and monitoring with laboratory tests can be expensive. 4. All of the above
The client receives medication from a small-volume nebulizer. Which client assessment is the nurse's priority during medication administration?
1. Nonperfusing ventricular arrhythmia 2. Wheezes throughout both lung fields 3. Frequent cough with many secretions 4. Inability to self-administer medication