The nurse is caring for a client who was recently admitted from a long-term care facility. The client is prescribed trimethoprim–sulfamethoxazole by IV. Which laboratory tests should the nurse assess prior to administration of the medication?
1. Serum creatinine
2. Electrolytes
3. Allergies
4. C-reactive protein
1
Rationale 1:Trimethoprim–sulfamethoxazole should be used cautiously in patients with preexisting kidney disease. Serum creatinine and blood urea nitrogen should be assessed prior to medication administration.
Rationale 2:Electrolytes are not adversely affected by the medication.
Rationale 3: Allergies should be assessed prior to medication administration, but that is not a laboratory test.
Rationale 4: C-reactive protein is elevated in patients with inflammation. This client has an infection and not necessarily inflammation.
Global Rationale: The combination of sulfamethoxazole (SMZ), a sulfonamide, with the anti-infective trimethoprim (TMP) should be used cautiously in patients with preexisting kidney disease, because sulfonamides can adversely affect renal function. Serum creatinine and blood urea nitrogen are laboratory tests that assess renal function.
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The nurse is planning a health promotion program. The nurse is writing a sample business plan to teach healthy behaviors to a diverse group of employees and their families
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