A male client comes into the emergency department with a serum creatinine of 2.2 mg/dL and a blood urea nitrogen (BUN) of 24 mL/dL. What question should the nurse ask first when taking this client's history?
a. "Have you been taking any aspirin, ibuprofen, or naproxen recently?"
b. "Do you have anyone in your family with renal failure?"
c. "Have you had a diet that is low in protein recently?"
d. "Has a relative had a kidney transplant lately?
ANS: A
There are some medications that are nephrotoxic, such as the nonsteroidal anti-inflammatory drugs ibuprofen, aspirin, and naproxen. This would be a good question to initially ask the client since both the serum creatinine and BUN are elevated, indicating some renal problems. A family history of renal failure and kidney transplantation would not be part of the questioning and could cause anxiety in the client. A diet high in protein could be a factor in an increased BUN.
You might also like to view...
A patient has inadequate perfusion to her extremities. Which of the following could explain this phenomenon?
A) Increased diastolic pressure B) Arteriole dilation C) Decreased vascular resistance D) Decreased blood viscosity
The nurse inserts a gastric feeding tube into the client. Which method does the nurse use to verify placement of the client's feeding tube?
1. Gets a pH of 4 from feeding tube aspirate 2. Obtains a pH of 7.0 from gastric aspirate 3. Locates the tube distal to pyloric sphincter 4. Locates the tube above cardiac sphincter
The nurse working with infants knows that infants have a unique response to pain, which is to exhibit which of the following behaviors?
a. yawn several times over a couple of minutes b. claw at the air with their hands c. utter piercing cries and arch the back in an extreme way d. withdraw, cry, and have a furrowed brow and a taut tongue
A health care provider prescribed depot injections every 3 weeks at the clinic for a patient with a history of medication noncompliance. For this plan to be successful, which factor will be of critical importance?
a. The attitude of significant others toward the patient b. Nutrition services in the patient's neighborhood c. The level of trust between the patient and nurse d. The availability of transportation to the clinic