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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 ["B","D","E"]

Explanation

Choice A rationale

Crushing and mixing ciprofloxacin hydrochloride tablets with pudding is not recommended. Ciprofloxacin is an antibiotic used to treat a variety of bacterial infections, including anthrax. It should be taken as directed by a healthcare provider, usually every 12 hours with a full glass of

water. Crushing the tablets can lead to a sudden release of the drug, causing side effects or an overdose.

Choice B rationale

Increasing fluid intake while taking the medication is advisable. Ciprofloxacin can cause crystalluria, which are crystals in the urine, in some patients. Drinking plenty of fluids while taking this medication helps to prevent the formation of these crystals.

Choice C rationale

Using nonsteroidal anti-inflammatory drugs (NSAIDs) to relieve mild joint aches and pains caused by the medication is not recommended. Ciprofloxacin can increase the effects of certain medications, including NSAIDs, leading to an increased risk of side effects such as gastrointestinal bleeding.

Choice D rationale

Reporting any tendon pain or swelling to the healthcare provider immediately is crucial. Ciprofloxacin has been associated with an increased risk of tendonitis and tendon rupture, particularly in older adults and those taking corticosteroids.

Choice E rationale

Limiting exposure to sunlight and avoiding tanning beds is important. Ciprofloxacin can make the skin more sensitive to sunlight, increasing the risk of sunburn. Patients should wear protective clothing and use sunscreen when outdoors.

A. Serum potassium level of 3.8 mEq/L (3.8 mmol/L) B. Hemoglobin level of 13.5 g/dL (135 g/L). C. Serum glucose level of 120 mg/dL (6.7 mmol/L) D. Serum ammonia level of 30 Mcg/dL (17.62 Mermol/L)

Correct Answer is A

Explanation

Choice A rationale

Sodium polystyrene sulfonate is a medication used to treat high levels of potassium in the blood, a condition known as hyperkalemia. Hyperkalemia is a common complication of acute kidney injury (AKI). The medication works by exchanging sodium ions for potassium ions in the intestine, which are then excreted from the body. Therefore, a decrease in serum potassium levels to within the normal range (3.5-5.0 mEq/L) would indicate that the medication has been effective.

Choice B rationale

Hemoglobin levels are not directly affected by sodium polystyrene sulfonate. Hemoglobin is a protein in red blood cells that carries oxygen. While it’s an important indicator of overall health, changes in hemoglobin levels would not indicate whether treatment for hyperkalemia is working.

Choice C rationale

Sodium polystyrene sulfonate does not directly affect glucose levels. While it’s important to monitor glucose levels in patients with kidney disease, changes in glucose would not indicate whether treatment for hyperkalemia is working.

Choice D rationale

Sodium polystyrene sulfonate does not directly affect ammonia levels. While elevated ammonia levels can occur in certain conditions, such as liver disease, changes in ammonia levels would not indicate whether treatment for hyperkalemia is working.

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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

The nurse is preparing a discharge teaching plan for a patient who is taking ciprofloxacin hydrochloride tablets due to suspected anthrax exposure. What instructions should be included in the teaching plan?

Correct Answer is ["B","D","E"]

Explanation

The nurse is administering sodium polystyrene sulfonate to a client with acute kidney injury (AKI). Which laboratory finding indicates that the medication has been effective?

Correct Answer is A

Explanation

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A client is receiving intravenous vancomycin, and the nurse plans to draw blood for a peak and trough to determine the serum level of the drug. Which collection times would provide the best determination of these levels?

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

A patient with open-angle glaucoma asks the nurse about the duration of use for the prescribed eye drops. What is the nurse’s accurate response?