FNP Family Nurse Practitioner Exam Prep

Category - FNP Practice Questions

You are assigned a new patient, a five year old girl, who is being treated with Chelation Therapy, calcium disodium edetate due to previous lead poisoning. You should be on alert for which side effect?

  1. Neurotoxicity
  2. Hepatomegaly
  3. Nephrotoxicity
  4. Ototoxicity
Explanation

Answer: C - Nephrotoxicity is a common side effect of calcium disodium edentate.

Calcium disodium edetate (also known as edetate calcium disodium or calcium disodium EDTA) is a medication that is used to treat lead and heavy metal poisoning. It works by binding to the metal ions in the body and helping to remove them through the urine.

Nephrotoxicity is a term used to describe kidney damage, and it is a potential side effect of taking calcium disodium edetate. The kidneys play a crucial role in filtering waste products and excess fluids from the body, and when they are damaged, they may not be able to function properly. This can lead to a build-up of waste products in the body and potentially severe health problems.  Especially in pediatric patients, it should be closely monitored for.

Symptoms of nephrotoxicity may include:

  • Decreased urine output
  • Swelling in the legs and ankles
  • Fatigue
  • Nausea and vomiting
  • Shortness of breath
  • Confusion
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