Author Question: An adult patient has developed renal failure secondary to an overdose of a nephrotoxic drug. Which ... (Read 68 times)

maychende · **on:** Jul 23, 2018

An adult patient has developed renal failure secondary to an overdose of a nephrotoxic drug. Which of the following assessment findings would the nurse recognize as being most suggestive of impaired erythropoiesis?

A) Frequent infections and low neutrophil levels
B) Fatigue and increased heart rate
C) Agitation and changes in cognition
D) Increased blood pressure and peripheral edema

Question 2

A 69-year-old woman has been diagnosed with angina pectoris, and her primary care provider has prescribed nifedipine (Adalat, Procardia). After administering a dose of the drug at 08:00, the nurse should anticipate maximum effect at what time?

A) Between 08:30 and 09:00
B) 09:00 to 10:00
C) Between 12:00 and 14:00
D) 11:30 to 12:30

sarah_brady415 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

B
Feedback:
As RBCs decrease, conditions related to inadequate hematopoiesis develop. Clinical manifestations of inadequate erythropoiesis include anemia. This results in a decrease in the oxygen-carrying capacity of blood and consequently a decreased oxygen availability to the tissues. A compensatory increase in heart rate and cardiac output initially increases cardiac output, offsetting the lower oxygen-carrying capacity of the blood.

Answer to Question 2

B
Feedback:
Except for sustained release forms, nifedipine reaches peak plasma levels within 1 to 2 hours.