As the home health nurse reviews medications taken by the client with polycystic kidney disease, which medication should be addressed first?
A) Lovastin (Mevacor)
B) Methylprednisolone (Depo-Medrol)
C) Furosemide (Lasix)
D) Ibuprofen (Motrin)
D
Feedback:
Nephrotoxic drugs are not administered to clients with renal disease unless no other therapeutic agent is available. Ibuprofen (Motrin) is a nephrotoxic drug and nephrotoxic medications, such as nonsteroidal anti-inflammatory drugs and cephalosporin antibiotics, should be avoided in treating clients with polycystic kidney disease. Lovastin (Mevacor) (antihyperlidemic agent) and methylprednisolone (Depo-Medrol) (steroid) are drugs presently being reviewed for slowing the rate of disease progression in clients with polycystic kidney disease and are not considered nephrotoxic. Furosemide (Lasix) is a diuretic and has no significance in causing renal damage.
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