Author Question: The nurse, writing a care plan for a patient on an aminoglycoside, includes what intervention to ... (Read 40 times)

dakota nelson · **on:** Jul 23, 2018

The nurse, writing a care plan for a patient on an aminoglycoside, includes what intervention to reduce the accumulation of the drug in the kidney?

A) Avoid caffeine intake.
B) Increase fluids.
C) Decrease activity.
D) Increase consumption of fruits and vegetables.

Question 2

The nurse provides teaching regarding levothyroxine to a 55-year-old patient diagnosed with Hashimoto's disease. What statement made by the patient does the nurse interpret to mean that the drug teaching had been understood?

A) I can take this medication at any time of day.
B) I should take this medication on an empty stomach in the morning.
C) I may take this with a sip of water in the morning.
D) If I feel nauseated, I may take this drug with an antacid.

bobsmith · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

B
Feedback:
To prevent the accumulation of anti-infective drugs in the kidneys, which can damage the kidney, patients taking anti-infective drugs should be well hydrated. Decreasing the dosage will likely reduce the therapeutic action and increase risk of resistance. There is no evidence of association between caffeine intake and drug accumulation in the kidney. Decreasing activity and increasing fruits and vegetables in the diet would not be effective in decreasing drug accumulation.

Answer to Question 2

B
Feedback:
Adults who require thyroid replacement therapy need to understand that this will be a lifelong need. An established routine of taking the tablet first thing in the morning may help the patient comply with the drug regimen. The drug should be taken on an empty stomach with a full glass of water. Antacids would slow or prevent absorption of the hormone replacement, so the patient should be corrected.