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Pharmacological and Parenteral Therapies · Multiple choice · Take action

A client is receiving IV acyclovir. Which nursing action helps prevent kidney injury?

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Correct answer: A

Acyclovir can crystallize in the renal tubules. Adequate hydration and infusing over at least 1 hour reduce the risk.

Source: FDA label: Acyclovir sodium injection, DailyMed

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This question is one of 182 Pharmacological and Parenteral Therapies items in NCLEXSim. On the NCLEX-RN, this category makes up 13–19% of the exam.

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Study tip
  • Learn high-alert drugs by their hold parameters and antidotes: digoxin, warfarin (vitamin K), heparin (protamine), opioids (naloxone), insulin, potassium.
  • Do 10 dosage calculations a day: tablets, liquids, mL/hr, gtt/min, mg/kg, and units/hr. Convert units first, round last.

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