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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

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.

A. Encourage an increase in oral intake. B. Explain that the color change is normal. C. Obtain a specimen for a urine culture. D. Measure the client’s urinary output.

Correct Answer is B

Explanation

Choice A rationale

Encouraging an increase in oral intake is not the most appropriate action for a client who reports that the urine appears to be darker in color after taking carbidopa/levodopa. While increased fluid intake can sometimes help to lighten the color of urine, it does not address the underlying cause of the color change in this case.

Choice B rationale

Explaining that the color change is normal is the most appropriate action. Carbidopa/levodopa can cause the urine to appear darker in color. This is a harmless side effect of the medication and does not indicate a problem.

Choice C rationale

Obtaining a specimen for a urine culture is not necessary in this case. A urine culture is used to diagnose a urinary tract infection, which is not suggested by the client’s symptoms.

Choice D rationale

Measuring the client’s urinary output is not the most appropriate action in this case. While changes in urinary output can be a sign of a problem, the client’s report of darker urine is a known side effect of carbidopa/levodopa and does not necessarily indicate a problem with urinary output.

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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 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

A client with Parkinson’s disease who is taking carbidopa/levodopa reports that the urine appears to be darker in color.What action should the nurse take?

Correct Answer is B

Explanation

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