A nurse is caring for a client who routinely drinks alcohol. Which of the following information should the nurse provide the client about alcohol consumption?
"Alcohol is metabolized in the kidneys."
"Alcohol can increase the chances of nephrotoxicity."
"Alcohol can decrease the chance of medication side effects."
"Medication can be metabolized faster when alcohol is consumed regularly."
The Correct Answer is B
A. "Alcohol is metabolized in the kidneys." Alcohol is primarily metabolized in the liver, not the kidneys.
B. "Alcohol can increase the chances of nephrotoxicity." Chronic alcohol use can damage the kidneys and increase the risk of nephrotoxicity, especially when combined with nephrotoxic drugs (e.g., NSAIDs, aminoglycosides).
C. "Alcohol can decrease the chance of medication side effects." Alcohol can actually enhance medication side effects, such as sedation with CNS depressants or liver damage with acetaminophen.
D. "Medication can be metabolized faster when alcohol is consumed regularly." Chronic alcohol use induces liver enzymes, potentially altering metabolism, but it does not necessarily speed up drug metabolism for all medications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Nursing drug guide: A nursing drug guide is a textbook or app containing information on multiple drugs, not a single-drug insert.
B. Package insert; A package insert is provided by the manufacturer and contains information such as indications, side effects, contraindications, and dosing guidelines.
C. Physician’s drug reference: The Physician’s Desk Reference (PDR) is a compilation of drug package inserts.
D. Drug label: A drug label is found on the bottle or box and provides basic dosing and safety instructions, not detailed pharmacological data.
Correct Answer is A
Explanation
A. Sodium 126 mEq/L: This value indicates hyponatremia, which can cause confusion, seizures, and fluid imbalance. Normal sodium levels are 135-145 mEq/L, so this is a critical finding.
B. Chloride 99 mmol/L: This is within the normal range (96-106 mmol/L), so it is not concerning.
C. Albumin 4.9 mg/dL: Normal albumin levels are 3.5-5.0 mg/dL, so this value is within range.
D. Potassium 3.6 mEq/L: Normal potassium levels are 3.5-5.0 mEq/L. This value is on the lower end but still within normal limits.
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