A nurse is reviewing the medication record for a client who has chronic kidney disease. Which of the following medications should the nurse identify as having the potential to cause nephrotoxicity?

Ondansetron

Diphenhydramine

Vancomycin

Omeprazole

Answer and Explanation

The Correct Answer is C

A.   Ondansetron is an antiemetic commonly used to prevent nausea and vomiting, and it is not typically associated with nephrotoxicity.
B.   Diphenhydramine is an antihistamine used for allergy symptoms and as a sleep aid. It is not known to cause nephrotoxicity.
C.   Vancomycin is an antibiotic that can cause nephrotoxicity, especially when administered in high doses or in individuals with impaired renal function. Monitoring renal function is crucial when using vancomycin.
D.   Omeprazole is a proton pump inhibitor used to reduce gastric acid secretion and treat conditions such as gastroesophageal reflux disease (GERD) and peptic ulcers. It is not associated with nephrotoxicity.

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Correct Answer is A

Explanation

A. Certain malignancies, particularly lung cancer, can produce ectopic antidiuretic hormone (ADH) or ADH-like substances, leading to SIADH. It's important to inquire about a history of lung cancer due to its association with SIADH.

B. Osteoarthritis is a degenerative joint disease and is not known to cause SIADH.

C. Dyspepsia refers to upper gastrointestinal discomfort and is not associated with SIADH.

D. Liver cirrhosis can lead to various complications, including hepatic encephalopathy and ascites, but it is not typically associated with SIADH.

A. BUN 45 mg/dL and creatinine 8 mg/dL B. BUN 8 mg/dL and creatinine 0.7 mg/dL C. BUN 10 mg/dl and creatinine 0.3 mg/dl D. BUN 23 mg/dl and creatinine 1.0 mg/dl

Correct Answer is A

Explanation

A. These values indicate elevated BUN (blood urea nitrogen) and creatinine levels indicating impaired kidney function, typical findings in chronic kidney disease.
B. These are the normal BUN and creatinine levels hence are not indicative of chronic kidney disease.
C. These values are within the normal BUN and creatinine levels hence are not indicative of chronic kidney disease.
D. These are normal BUN and creatinine levels and are not indicative of chronic kidney disease.

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A nurse is reviewing the medication record for a client who has chronic kidney disease. Which of the following medications should the nurse identify as having the potential to cause nephrotoxicity?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting the medical history from a client who has manifestations of syndrome of inappropriate antidiuretic hormone (SIADH). The nurse should ask the client if he has a history of which of the following conditions that can cause SIADH?

Correct Answer is A

Explanation

A nurse is reviewing the BUN and creatinine levels of an older adult client who has chronic kidney disease. The nurse should expect which of the following findings?

Correct Answer is A

Explanation

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