In assessing a client who has taken several doses of over-the-counter fluconazole, what health status should the nurse prioritize?

Fluconazole is primarily eliminated through the kidneys, making renal function a critical consideration when assessing a client who has taken several doses. If a patient has decreased renal function, the clearance of fluconazole can be significantly impaired, leading to increased plasma levels and a higher risk of toxicity. Consequently, monitoring and evaluating renal function is essential to prevent adverse effects and ensure the safety and efficacy of the treatment.

While factors such as recent surgery history, allergies to medications, and recent travel history are important for overall patient assessment, they do not directly impact the pharmacokinetics of fluconazole to the same extent as renal function does. This emphasizes the necessity of prioritizing renal health in patients receiving this antifungal agent. Recognizing and addressing issues related to renal function promptly can help mitigate potential complications related to the medication's pharmacological properties. Thus, assessing renal function after multiple doses of fluconazole is crucial in this scenario.