Which of the following patients is most at risk for digoxin toxicity resulting from impaired excretion?
a. A 56-year-old man with coronary artery disease
b. A 24-year-old woman with cystic fibrosis
c. A 53-year-old woman with renal disease
d. A 57-year-old man with a hemorrhagic stroke
C
The kidneys are the main organs that excrete medications. Some medications escape extensive metabolism and exit unchanged in the urine. Other medications undergo biotransformation in the liver before the kidneys excrete them. If renal function declines, a patient is at risk for medication toxicity.
You might also like to view...
A client is being admitted for the eighth exacerbation of chronic pancreatitis in 2 years. The client is frail and emaciated and becomes agitated when the nurse asks about pain medication
Which referral can the nurse make to best meet this client's needs and address potential complications of the condition? The nurse should request a referral to a a. chaplain for spiritual distress related to the chronic nature of the disease. b. chemical dependency counselor to assess and treat substance abuse. c. medical nutritionist to assess and treat the client's malnutrition. d. surgeon to assess whether or not this client can be treated surgically.
A patient is taking trimethoprim (Primsol) 200 mg orally once a day. For which adverse effect will you monitor?
a. GI bleeding b. Kidney failure c. Anaphylaxis d. Angioedema
A nurse manager is training a new hire. Which statement shows an understanding of functional nursing?
a. "Functional nursing is organized around tasks.". b. "Functional nursing is patient led.". c. "Functional nurses is physician led.". d. "Functional nursing is unorganized.".
If the child is following a normal development process, visual acuity gradually increases from birth. Which statement is the most accurate regarding the age children develop 20/20 vision?
A) Most children develop 20/20 vision by 2 years of age B) A few children develop 20/20 vision by 4 years of age C) Children usually develop 20/20 vision by 5 years of age D) Most children do not develop 20/20 vision until about 18 years of age