A client is in chronic renal failure. Based on this diagnosis, what would the nurse anticipate the client might require regarding medications?
1. Higher dosages of medications than would a client with normally functioning kidneys
2. The same medication dosage as would a client with normally functioning kidneys
3. A significant dosage reduction in most medications
4. A kidney transplant
Correct Answer: 3
Rationale 1: Higher dosages of medications than would a client with normally functioning kidneys is incorrect because most medications will require a significant dosage reduction in patients with moderate-to-severe renal failure, which is classified as acute or chronic.
Rationale 2: The same medication dosage as would a client with normally functioning kidneys is incorrect because most medications will require a significant dosage reduction in patients with moderate-to-severe renal failure.
Rationale 3: Because the kidneys excrete most drugs, most medications will require a significant dosage reduction in patients with moderate-to-severe renal failure, which is classified as acute or chronic. The client at some point might require a kidney transplant, but until then, the medication dosage would have to be adjusted.
Rationale 4: A kidney transplant is incorrect because the client might require a kidney transplant at some point, but this is not related to medication administration.
Global Rationale: Because the kidneys excrete most drugs, most medications will require a significant dosage reduction in patients with moderate-to-severe renal failure, which is classified as acute or chronic. The client at some point might require a kidney transplant, but until then, the medication dosage would have to be adjusted. Higher dosages of medications than would a client with normally functioning kidneys is incorrect because most medications will require a significant dosage reduction in patients with moderate-to-severe renal failure, which is classified as acute or chronic. The same medication dosage as would a client with normally functioning kidneys is incorrect because most medications will require a significant dosage reduction in patients with moderate-to-severe renal failure. A kidney transplant is incorrect because the client might require a kidney transplant at some point but this is not related to medication administration.
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