An older adult woman has a resistant strain of pneumoni
a. To best minimize her risk of developing acute renal failure, the nurse:
a. monitors the patient's serum blood urea nitrogen (BUN) levels via diagnostic la-boratory work.
b. helps the patient select low-sodium foods from her daily menu.
c. measures and records the patient's urinary output.
d. chooses an analgesic other than ibuprofen (Motrin).
D
Patients with pneumonia often have mild to moderate pain. Nonsteroidal antiinflammatory drug (NSAIDs) are common analgesics; however, they can cause acute kidney injury. Using another class of drug for pain relief will help protect the patient's kidneys. The patient may be at risk of acute kidney injury because of dehydration or the nephrotoxic effects of certain antibiotics.
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A woman comes to the clinic for her 24-week prenatal visit. This is her second pregnancy. The patient does not wish to know her weight and when her clinic record is reviewed, her total weight gain for this pregnancy is 5 pounds. She is very concerned about her changing body shape. What disorder does the nurse suspect?
A. Anemia B. Anorexia nervosa C. Gestational diabetes D. Gestational hypertension
Parents have brought their 7-year-old child into the emergency room with abdominal pain. Which of the following clinical manifestations would lead the health care team to suspect the child has appendicitis? Select all that apply
A) Tenderness in right lower quadrant with palpation B) Rebound tenderness in inguinal areas with palpation C) Redness and warmth over right lower quadrant D) Bloating and flatulence noticeable E) Urine has the smell of stool with brown coloring
The best time to teach nonpharmacologic pain control methods to an unprepared laboring client is during which stage?
a. Latent phase b. Active phase c. Second stage d. Transition phase
The nurse counts a patient's respirations at 30 per minute. From this finding, what about the patient's respiratory status should cause the nurse concern?
1. Pneumonia is developing. 2. Increased carbon dioxide in the blood is being expelled. 3. Respiratory arrest is beginning. 4. Pain is affecting the respiratory rate.