The nurse, writing a care plan for a patient on an aminoglycoside, includes what intervention to reduce the accumulation of the drug in the kidney?
A) Avoid caffeine intake.
B) Increase fluids.
C) Decrease activity.
D) Increase consumption of fruits and vegetables.
B
Feedback:
To prevent the accumulation of anti-infective drugs in the kidneys, which can damage the kidney, patients taking anti-infective drugs should be well hydrated. Decreasing the dosage will likely reduce the therapeutic action and increase risk of resistance. There is no evidence of association between caffeine intake and drug accumulation in the kidney. Decreasing activity and increasing fruits and vegetables in the diet would not be effective in decreasing drug accumulation.
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A patient with obstructive sleep apnea is unhappy using CPAP therapy and asks the nurse if there is something else he can try. What is the best statement by the nurse?
1. "Perhaps a class in sleep hygiene would be helpful." 2. "Certain classes of sleeping pills are sometimes effective in OSA." 3. "Cognitive-behavioral therapy works for some people with OSA." 4. "Oral-pharyngeal surgery, some appliances, or weight loss are sometimes utilized."
The nurse, when selecting possible nursing diagnoses for the 32-year-old patient who is in anticipatory grieving for an upcoming bilateral above-knee amputation, would consider (se-lect all that apply):
1. anxiety related to knowledge deficit of procedure. 2. disturbed body image related to loss of body part. 3. sexual dysfunction related to perceived disfigurement. 4. disturbed self-image related to loss of independence. 5. activity intolerance related to pain.
Concerning the turns and other adjustments of the fetus during the human birth process, known as the mechanism of labor, nurses should be aware that:
1. the seven critical movements must progress in a more or less orderly sequence. 2. asynclitism is sometimes achieved by means of the Leopold maneuver. 3. the effects of the forces determining descent are modified by the shape of the woman's pelvis and the size of the fetal head. 4. at birth the baby is said to achieve "restitution," that is, a return to the C shape of the womb.
A patient is receiving care for a soft tissue sports injury. Which explanation by the nurse explains part of the treatment using the acronym PRICE?
a. "I'll be alternating ice and heat to the in-jured area.". b. "You'll be exercising with ice packs for a while.". c. "Rest is indicated before and after cold treatments.". d. "The cold therapy decreases venous con-gestion.".