The nurse is to administer a nephrotoxic medication to the patient. Which assessment finding indicates to the nurse that the patient should receive a reduced dosage of the drug?
The patient is unable to exercise due to severe osteoarthritis in both hips.
The patient follows a low-carbohydrate, low-protein, high-fat diet.
The patient has a history of hypertension and diabetic kidney disease.
The patient has a 35 pack-year history of cigarette smoking.
The Correct Answer is C
Choice A reason: Osteoarthritis limits mobility; it doesn’t affect kidney function directly, so nephrotoxic drug clearance remains unchanged, not warranting a dose reduction.
Choice B reason: Diet impacts metabolism slightly; low protein may spare kidneys, but it doesn’t indicate impaired clearance requiring adjustment of nephrotoxic medication.
Choice C reason: Diabetic kidney disease with hypertension impairs filtration; reduced glomerular rate necessitates lower nephrotoxic doses to prevent further renal damage.
Choice D reason: Smoking affects lungs primarily; while it may indirectly harm kidneys, it’s less definitive than diabetic nephropathy for needing a reduced dose.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: 60 gtts/min assumes 100 mL in 100 minutes; this underestimates the 1-hour order, delivering Levaquin too slowly, risking subtherapeutic antibiotic levels.
Choice B reason: 100 gtts/min is correct; 100 mL over 1 hour (60 min) with 60 gtts/mL equals 6000 gtts total, divided by 60 minutes matches the ordered rate.
Choice C reason: 120 gtts/min overestimates; it implies 100 mL in 50 minutes, infusing too fast, potentially causing Levaquin-related side effects like tachycardia or irritation.
Choice D reason: 200 gtts/min is excessive; 100 mL in 30 minutes doubles the rate, risking toxicity or infusion reactions, far exceeding the 1-hour prescription safely.
Correct Answer is D
Explanation
Choice A reason: Biofeedback uses devices to monitor physiological signals (e.g., heart rate); it doesn’t involve hands altering energy fields, focusing on self-regulation instead.
Choice B reason: Allopathic is conventional medicine (e.g., drugs, surgery); it relies on empirical science, not energy field manipulation, differing from the described technique.
Choice C reason: Imagery involves mental visualization for relaxation; it’s cognitive, not physical, and lacks the hands-on energy assessment central to the practice.
Choice D reason: Therapeutic touch uses hand passes to sense and adjust energy fields; it aims to reduce tension, aligning precisely with the described holistic method.
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