A nurse in an eye clinic is obtaining a health history from a client who is being evaluated for suspected cataracts. The nurse understands that which of the following medications is associated with an increased risk of developing cataracts?

A. Spinach is known to be high in oxalates. Oxalates are compounds that can bind with calcium in the urine, forming calcium oxalate stones, which are the most common type of kidney stones. For clients with a history of kidney stones related to high oxalate intake, it is crucial to limit or avoid high-oxalate foods such as spinach to reduce the risk of further stone formation.
B. Anchovies are not particularly high in oxalates. They are more commonly associated with other nutritional considerations, such as being a good source of omega-3 fatty acids and protein. While anchovies are not a significant source of oxalates, they are not a primary concern for those needing to manage oxalate intake.
C. Organ meats, such as liver and kidneys, are not known for high oxalate content. They are high in other nutrients and substances but do not significantly contribute to oxalate levels in the urine. Therefore, avoiding organ meats is not typically necessary for managing oxalate levels.
D. Milk is not high in oxalates. In fact, dairy products are a good source of calcium, which can help bind oxalates in the gut and reduce their absorption. For individuals managing oxalate levels, increasing calcium intake from dairy products can be beneficial. Milk and other dairy products are generally not restricted in a diet aimed at reducing oxalate intake.

A creatinine level of 1.2 mg/dL is within the upper range of normal but may be slightly elevated depending on the baseline level pre-transplant and individual patient factors. For a client 3 months post- transplant, this level could indicate stable kidney function or a mild increase but is not necessarily indicative of a significant complication.
B.A 24-hour urine output of 1,800 mL is within the normal range for adults (about 1,000 to 2,000 mL per day). This level of urine output suggests that the transplanted kidney is functioning adequately in terms of urine production.
C. An elevated white blood cell count of 13,500/mm³ could indicate an infection or inflammation. This finding is relevant in the context of post-transplant care because patients are at increased risk for infections due to immunosuppressive therapy and the surgical procedure. An elevated WBC count could also suggest an acute rejection episode, as rejection can cause inflammation and an immune response.
D. A BUN level of 18 mg/dL is within the normal range but on the higher end. It might suggest some level of kidney impairment, but it is not necessarily indicative of a severe complication on its own.