A nurse is reviewing the medication record for a client who has chronic kidney disease. Which of the following medications should the nurse identify as having the potential to cause nephrotoxicity?
Ondansetron
Diphenhydramine
Vancomycin
Omeprazole
The Correct Answer is C
A. Ondansetron is an antiemetic commonly used to prevent nausea and vomiting, and it is not typically associated with nephrotoxicity.
B. Diphenhydramine is an antihistamine used for allergy symptoms and as a sleep aid. It is not known to cause nephrotoxicity.
C. Vancomycin is an antibiotic that can cause nephrotoxicity, especially when administered in high doses or in individuals with impaired renal function. Monitoring renal function is crucial when using vancomycin.
D. Omeprazole is a proton pump inhibitor used to reduce gastric acid secretion and treat conditions such as gastroesophageal reflux disease (GERD) and peptic ulcers. It is not associated with nephrotoxicity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. In respiratory acidosis, the pH would be lower than normal due to an excess of carbon dioxide.
B. PaCO2 (partial pressure of carbon dioxide) would be elevated in respiratory acidosis because of inadequate ventilation leading to CO2 retention.
C. Potassium levels may vary depending on other factors but are not directly related to respiratory acidosis.
D. HCO3 (bicarbonate) levels may be normal or increased compensatorily in chronic respiratory acidosis, not necessarily decreased.
Correct Answer is C
Explanation
A. Almonds are high in oxalates, which can contribute to the formation of calcium oxalate kidney stones. Therefore, almonds should be avoided or consumed in moderation by individuals with this condition.
B. Sweet potatoes contain moderate levels of oxalates, which may increase the risk of calcium oxalate kidney stones if consumed in large amounts. It is advisable for individuals with this condition to limit their intake of sweet potatoes.
C. Bananas are low in oxalates, making them a suitable choice for individuals with calcium oxalate kidney stones. Including bananas in the diet can help reduce the risk of stone formation.
D. Soy milk may contain moderate to high levels of oxalates, depending on processing methods. It is recommended to choose low-oxalate alternatives for individuals prone to calcium oxalate kidney stones.
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