A client has an increased BUN/creatinine ratio. Which action by the nurse is most appropriate?
a. Assess the client's dietary habits.
b. Inquire about the use of NSAIDs.
c. Hold the client's metformin (Glucophage).
d. Notify the health care provider imme-diately.
A
An elevated BUN-creatinine ratio is often indicative of dehydration, urinary obstruction, cata-bolism, or a high-protein diet. The nurse should inquire about the client's dietary habits. Kidney damage related to NSAIDs most likely would manifest with elevations in both BUN and creati-nine, but no change in the ratio.
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