The nurse is planning care for a patient with an acute kidney injury. Which interventions would prevent further injury to the patient's kidneys? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Use strict aseptic technique when providing care.
2. Discuss the need for acetylcysteine with the health care provider prior to testing that uses contrast dye.
3. Measure urine output every 8 hours.
4. Prepare a fluid challenge with Dextrose 5% and water.
5. Calculate fluid restriction.
1,2
Rationale 1: The nurse is scrupulous in his use of aseptic technique to prevent the development of an infection because removal of the by-products of infection and excretion of antibiotics may impose additional burdens on the damaged kidneys.
Rationale 2: If contrast dye must be administered, it is given sparingly or the physician may prescribe it; the nurse administers acetylcysteine for its renal protective effects.
Rationale 3: The patient's urine output should be measured as frequently as necessary to assess renal function. However, every 8 hours would be an excessive amount of time to make this assessment.
Rationale 4: Dextrose 5% and water is not the solution used for a fluid challenge.
Rationale 5: This might need to be done for the patient who is fluid volume overloaded. However, this intervention would not specifically prevent any further kidney injury.
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Fill in the blanks with correct word
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A) True B) False