A patient with renal impairment and HIV has had a medication change. What drug would be considered the drug of choice for this patient?
A) Atazanivir (Reyataz)
B) Lopinavir (Kaletra)
C) Nelfinavir (Viracept)
D) Ritonavir (Norvir)
C
Feedback:
Nelfinavir is the best choice for a patient with renal impairment because very little of the drug is excreted through the kidney, with most being excreted in feces. The other drugs are all excreted through both the urine and feces, so patients with renal impairment might need dosage adjustments to avoid toxicity.
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A) Impaired Gas Exchange B) Activity Intolerance C) Ineffective Tissue Perfusion D) Risk for Decreased Cardiac Output
When screening clients for drug abuse, the nurse assesses the clients for common behavior patterns of persons with drug addiction, which include:
a. low socioeconomic class. c. manipulation of others. b. dependency. d. low self-esteem.
A client is prescribed gemfibrozil (Lopid) for treatment of hyperlipidemia type IV. What is important for the nurse to teach the client?
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You use a bedside bladder scanner and document that S.M. voided 60 mL and his PVR is
110 mL. You report the PVR to the PCP. What is the significance of his PVR? What will be an ideal response?