Author Question: When receiving a report on a new admission from the emergency room, the nurse learns that the ... (Read 112 times)

mynx · **on:** Jul 24, 2018

When receiving a report on a new admission from the emergency room, the nurse learns that the patient is newly diagnosed with renal failure.

Which medication(s) in the patient's medication history will require dosage adjustment by the physician? (Select all that apply.)
a. Lithium
b. Tobramycin
c. Atenolol
d. Quinidine
e. Ampicillin

Question 2

One of the prescribed medications for a 36-week gestational age baby girl is a topical water soluble medication to be applied to the perineum daily to treat an inflammatory rash.

What considerations is the nurse aware of before medication administration? (Select all that apply.)
a. Age of the client
b. Location of topical application
c. Increased intestinal transit rate
d. Condition of the skin
e. Gastric pH of 8

stano32 · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

ANS: A, B, C, D, E
Lithium, tobramycin, atenolol, quinidine, and ampicillin are all select medications that require dosage adjustment in renal failure.

Answer to Question 2

ANS: A, B, D
The premature infant's outer layer of skin is not fully developed, although it is more hydrated, which will enhance the absorption of the topical water soluble medication. Neonates often wear diapers, which will act as an occlusive dressing, thereby increasing absorption. The client's inflammatory condition will increase the absorption of medication. The intestinal transit rate increases as the newborn matures. This is irrelevant when a medication is applied topically. Gastric pH would not factor into metabolism of a medication that is applied topically.