Author Question: A client has renal insufficiency and is taking multiple medications. The nurse understands that: ... (Read 37 times)

student77 · **on:** Jul 24, 2018

A client has renal insufficiency and is taking multiple medications. The nurse understands that:

a. This can effect how the medications are distributed in the body.
b. As long as the client's liver function is normal, no adjustment in dosage is required.
c. The client should stop all medications until renal function improves.
d. The client may need to have lower dosages, because of the risk of accumulation of the medications.

Question 2

A client taking a medication to increase the time it takes to clot her blood (anticoagulant) has a long history of using herbal agents. Which of the following statements made by the client would indicate the need for further teaching?

a. I should not take feverfew because it increases the effects of my medication.
b. I can take ginger for my motion sickness when I fly.
c. I can take black cohosh for my PMS because there is not known interaction with my anticoagulant medication.
d. I can continue to use the garlic for a dietary supplement to decrease my cholesterol.

joshbk44 · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

ANS: D

Feedback
A Incorrect: Renal insufficiency affects elimination, not distribution of medications.
B Incorrect: Even with unimpaired liver function, the dosages may need to be decreased to prevent cumulative effects of medications secondary to lack of normal renal elimination function.
C Incorrect: This action will put the client at risk, which could be life-threatening.
D Correct: The kidneys are the primary route of drug elimination, so for this client, decreased dosages may be required to prevent cumulative effects of medications.

Answer to Question 2

ANS: D

Feedback
A Incorrect: This is a true statement, illustrating client understanding.
B Incorrect: This is a true statement, illustrating client understanding.
C Incorrect: This is a true statement, illustrating client understanding.
D Correct: Garlic has been shown to increase the risk of bleeding in clients taking anticoagulant medications.