The nurse caring for a patient with AIDS who is taking cidofovir (Vistide) for a cytomegalovirus retinitis will modify the care plan to include:
a. provision of cool baths to reduce skin ir-ritation.
b. provision of milk-based drinks to reduce gastritis.
c. teaching direction in the use of an incen-tive spirometer to reduce pleural effusion.
d. increasing fluid intake to reduce possible nephrotoxicity.
D
Cidofovir (Vistide) can be toxic to the kidneys. Increasing fluid intake will reduce the threat of nephrotoxicity. In addition, intravenous hydration with normal saline should be administered with each infused dose of cidofovir. Skin irritation, gastritis, and pleural effusion are not asso-ciated with this drug.
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