When prescribed cinoxacin (Cinobac), which documented finding should the nurse verify with the healthcare provider?

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When considering a prescription for cinoxacin, it is essential to evaluate the patient's renal function because this medication is eliminated primarily through the kidneys. In cases of renal insufficiency, the drug may accumulate, leading to increased risks of toxicity and side effects. Therefore, if a patient presents with documented renal insufficiency, the nurse must consult with the healthcare provider to discuss the appropriateness of prescribing cinoxacin in this context, as dosage adjustments or an alternative medication may be necessary to ensure patient safety.

The other findings, such as a normal chest x-ray, a blood glucose level that is only slightly elevated, and a daily supplementation of folic acid at a standard dose, do not present immediate concerns that would necessitate a verification with the healthcare provider regarding the prescription of cinoxacin. Each of those factors is generally within acceptable ranges and unlikely to impact the decision for this particular antibiotic therapy. Thus, verifying renal insufficiency stands out as a critical aspect that must be addressed to ensure the safe administration of the drug.

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