The nurse is administering medications to a group of clients. Which client(s) warrant(s) the nurse's special attention when considering pharmacokinetics? The client(s) who has (have) a medical diagnosis of: (SELECT ALL THAT APPLY)
renal impairment.
muscle sprain.
hearing impairment.
vaginal infection.
liver failure.
Correct Answer : A,E
Choice A rationale: Renal impairment can affect drug excretion and clearance, impacting pharmacokinetics.
Choice B rationale: Muscle sprain is not directly related to pharmacokinetics. Choice C rationale: Hearing impairment is not directly related to pharmacokinetics.
Choice D rationale: Vaginal infection may not have a direct impact on pharmacokinetics unless it is systemic.
Choice E rationale: Liver failure can affect drug metabolism, leading to altered pharmacokinetics.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale: Using a small gauge needle may reduce pain but does not specifically address tissue irritation.
Choice B rationale: The Z-track method is used to reduce irritation and prevent leakage of irritating medications into the subcutaneous tissues.
Choice C rationale: Administering at a 45-degree angle is a common angle for intramuscular injections but does not specifically address tissue irritation.
Choice D rationale: Applying ice to the injection site is not a standard practice for reducing tissue irritation with intramuscular injections.

Correct Answer is B
Explanation
Choice A rationale: Reading previous documentation provides historical information but may not reflect the current level of dyspnea.
Choice B rationale: Observing the client at rest and during activity is the best way to assess the current level of dyspnea.
Choice C rationale: Asking if shortness of breath is being experienced provides subjective information but may not be as reliable as direct observation.
Choice D rationale: Auscultating lung sounds is important for assessing respiratory function but may not provide a comprehensive picture of dyspnea.
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