A patient will be discharged from the hospital with a prescription for TMP/SMZ [Bactrim]. When providing teaching for this patient, the nurse will tell the patient that it will be important to:
a. drink 8 to 10 glasses of water each day.
b. eat foods that are high in potassium.
c. take the medication with food.
d. take folic acid supplements.
A
TMP/SMZ can injure the kidneys, because it causes deposition of sulfonamide crystals in the kidneys. Patients should be advised to drink 8 to 10 glasses of water a day to maintain a urine flow of 1200 mL in adults. Trimethoprim can cause hyperkalemia, so consuming extra potassium is unnecessary. The medication should be taken on an empty stomach. It is not necessary to con-sume extra folic acid, because mammalian cells use dietary folate and do not have to synthesize it; it is the process of folic acid synthesis that is altered by sulfonamides.
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Handoff communication, the transfer of information during transitions in care such as during change-of-shift reports, includes an opportunity to ask questions, clarify, and confirm the information between sender and receiver
Which is the main objective for ensuring effective communication during a client handoff? A) To avoid lawsuits B) To make sure all documentation is done C) To facilitate quality improvement D) To ensure client safety
A 53-year-old female is admitted with signs of acute pancreatitis. The patient's serum glucose level is 250 mg/dl, white blood cell count 18,000 mm3 and serum SGOT 190 U/dL
From these assessment findings, the nurse would calculate this patient's mortality rate as being 1. 1% 2. 16% 3. 40% 4. near 100%
While evaluating how care is delivered at various hospitals, the nurse identifies a facility where caring in the emergency department is perceived differently than caring in the rehabilitation unit. Whose theory of caring is the nurse observing in action?
1. Leininger 2. Ray 3. Roach 4. Boykin and Schoenhofer