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When administering medications to a group of patients, which patient should the nurse closely monitor for the development of acute kidney injury (AKI)?

Patient on Vancomycin.

Patient on Sucralfate.

Patient on Lorazepam.

Patient on Digoxin.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Vancomycin is known to potentially cause nephrotoxicity, which can lead to acute kidney injury.

Choice B rationale

Sucralfate is not typically associated with acute kidney injury.

Choice C rationale

Lorazepam is not typically associated with acute kidney injury.

Choice D rationale

While digoxin can have many side effects, it’s not typically associated with acute kidney injury.

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Correct Answer is A

Explanation

Choice A rationale

Hypertension is a condition that should be reported to the healthcare provider before administering phenylephrine. Phenylephrine is a decongestant used to relieve nasal discomfort caused by colds, allergies, and hay fever. It works by shrinking swollen nasal mucous membranes, which relieves nasal congestion. However, it can cause a rise in blood pressure, which could be dangerous for patients with hypertension.

Choice B rationale

Bronchitis is not a contraindication for phenylephrine. However, if the patient has a chronic respiratory condition like bronchitis, it’s always a good idea to discuss any new medications with the healthcare provider.

Choice C rationale

Diarrhea is not a contraindication for phenylephrine. Phenylephrine is not known to cause or worsen diarrhea.

Choice D rationale

Edema is not a contraindication for phenylephrine. However, if the patient has a history of heart disease or high blood pressure, which can sometimes cause edema, they should inform their healthcare provider.

A. Utilize an additional form of contraception. B. Immediately discontinue the oral contraceptive. C. Ensure a 12-hour gap between taking the medications. D. Avoid prolonged exposure to direct sunlight.

Correct Answer is A

Explanation

Choice A rationale

Erythromycin is an antibiotic that can potentially reduce the effectiveness of oral contraceptives. Therefore, patients who are taking both erythromycin and an oral contraceptive should be advised to use an additional form of contraception to prevent unintended pregnancy.

Choice B rationale

Immediately discontinuing the oral contraceptive is not necessary when taking erythromycin. Instead, the patient should be advised to use an additional form of contraception.

Choice C rationale

Ensuring a 12-hour gap between taking the medications is not a recommended strategy for managing the potential interaction between erythromycin and oral contraceptives. The patient should be advised to use an additional form of contraception.

Choice D rationale

Avoiding prolonged exposure to direct sunlight is a general recommendation for sun protection, but it is not specifically related to the use of erythromycin or oral contraceptives.

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When administering medications to a group of patients, which patient should the nurse closely monitor for the development of acute kidney injury (AKI)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient with nasal congestion has been prescribed phenylephrine 10 mg by mouth every 4 hours.What patient condition should the nurse report to the healthcare provider before administering the medication?

Correct Answer is A

Explanation

A patient is currently on an oral contraceptive and has been prescribed erythromycin. What advice should the nurse provide to the patient?

Correct Answer is A

Explanation

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A client with type I diabetes mellitus has been prescribed a glucagon emergency kit for home use. When should the nurse instruct the client and family to administer glucagon?

When administering medications to a group of patients, which patient should the nurse closely monitor for the development of acute kidney injury (AKI)?

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