A nurse is caring for a client who routinely drinks alcohol. Which of the following information should the nurse provide the client about alcohol consumption?

"Alcohol is metabolized in the kidneys."

"Alcohol can increase the chances of nephrotoxicity."

"Alcohol can decrease the chance of medication side effects."

"Medication can be metabolized faster when alcohol is consumed regularly."

Answer and Explanation

The Correct Answer is B

A. "Alcohol is metabolized in the kidneys." Alcohol is primarily metabolized in the liver, not the kidneys.

B. "Alcohol can increase the chances of nephrotoxicity." Chronic alcohol use can damage the kidneys and increase the risk of nephrotoxicity, especially when combined with nephrotoxic drugs (e.g., NSAIDs, aminoglycosides).

C. "Alcohol can decrease the chance of medication side effects." Alcohol can actually enhance medication side effects, such as sedation with CNS depressants or liver damage with acetaminophen.

D. "Medication can be metabolized faster when alcohol is consumed regularly." Chronic alcohol use induces liver enzymes, potentially altering metabolism, but it does not necessarily speed up drug metabolism for all medications.

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Correct Answer is ["320"]

Explanation

10 mL medication
3 oz formula (1 oz = 30 mL → 3 × 30 = 90 mL)
2 oz juice (2 × 30 = 60 mL)
IV fluids at 20 mL/hr for 8 hours (20 × 8 = 160 mL)

Total intake: 10 + 90 + 60 + 160 = 320 mL

Correct Answer: 320

A. Trailing B. Double C. Leading D. Decimal point

Correct Answer is C

Explanation

A. Trailing: Incorrect because trailing zeros (e.g., 5.0 mg) should be avoided, as 5.0 mg could be misread as 50 mg.

B. Double: Not relevant to numeric safety measures.

C. Leading: A leading zero (e.g., 0.5 mg instead of .5 mg) helps prevent medication errors. Without a leading zero, .5 mg could be misread as 5 mg, leading to a dangerous overdose.

Correct Answer: C

D. Decimal point: This refers to the proper use of decimal points in dose documentation. While using decimal points is critical, this alone doesn’t address all potential errors related to formatting (e.g., leading or trailing zeros).

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A nurse is caring for a client who routinely drinks alcohol. Which of the following information should the nurse provide the client about alcohol consumption?

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Naxlex Comprehensive Predictor Exams

Correct Answer is ["320"]

Explanation

To prevent medication errors and reduce the possibility of causing harm to a patient, the provider should always use a _____

Correct Answer is C

Explanation

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