A nurse is reviewing a medication reconciliation for an 80-year-old client with renal disease. Which medication should the nurse be most concerned about?

Digoxin.

Levothyroxine.

Motrin.

Tylenol.

Answer and Explanation

The Correct Answer is C

Motrin is a brand name for ibuprofen, which is a nonsteroidal anti-inflammatory drug (NSAID). NSAIDs can cause renal toxicity, especially in older adults and patients with renal disease.

Therefore, the nurse should be most concerned about this medication and its potential adverse effects on the patient’s kidney function.

Choice A is wrong because digoxin is a cardiac glycoside that is used to treat heart failure and atrial fibrillation. Digoxin has a narrow therapeutic index and can cause toxicity if the dose is too high or if the patient has hypokalemia. However, digoxin does not directly affect the kidneys and can be safely used in patients with renal disease if the dose is adjusted according to the patient’s creatinine clearance.

Choice B is wrong because levothyroxine is a synthetic thyroid hormone that is used to treat hypothyroidism. Levothyroxine does not have any major interactions with the kidneys and can be used in patients with renal disease without dose adjustment.

Choice D is wrong because Tylenol is a brand name for acetaminophen, which is an analgesic and antipyretic drug. Acetaminophen does not have any anti-inflammatory effects and does not affect the kidneys at therapeutic doses. However, acetaminophen can cause hepatotoxicity if the dose exceeds 4 g per day or if the patient has liver disease or alcohol abuse.

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Correct Answer is ["A","D","E"]

Explanation

These choices validate the client with acute pain because they are signs of a sympathetic nervous system response to pain. Acute pain is a sudden and usually sharp sensation that indicates tissue damage or injury.

Choice B is wrong because dilated pupils are not a sign of acute pain. Pupils may dilate in response to fear, excitement, or drugs.

Choice C is wrong because constricted pupils are not a sign of acute pain. Pupils may constrict in response to bright light, drugs, or brain damage.

Choice F is wrong because decreased respirations are not a sign of acute pain. Respirations may decrease in response to relaxation, drugs, or respiratory depression.

A. Wait for the client to volunteer information about any sexual problems they are having. B. Acknowledge the need for intimacy and need to value themselves in sexual relationships. C. Ask if sexual experiences cause any kind of physical or emotional discomfort. D. Discuss any changes in sexual experience or satisfaction since beginning new treatments ordered by care providers.

Correct Answer is ["B","C","D"]

Explanation

The nurse should acknowledge the need for intimacy and value themselves in sexual relationships, ask if sexual experiences cause any kind of physical or emotional discomfort, and discuss any changes in sexual experience or satisfaction since beginning new treatments ordered by care providers.

These actions show respect, empathy, and professionalism towards the client’s sexuality.

Choice A is wrong because waiting for the client to volunteer information about any sexual problems they are having may imply that the nurse is uncomfortable or uninterested in addressing sexuality.

The nurse should initiate the conversation and create a safe and supportive environment for the client to express their concerns.

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A nurse is reviewing a medication reconciliation for an 80-year-old client with renal disease. Which medication should the nurse be most concerned about?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing a client experiencing acute pain. What assessments should validate the client with acute pain? Select all that apply.

Correct Answer is ["A","D","E"]

Explanation

When a client reports altered sexuality patterns, the nurse should: (Select all that apply).

Correct Answer is ["B","C","D"]

Explanation

Which of the following assessments is the priority for a toddler who is diagnosed with fetal alcohol syndrome?

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