A client with polycystic kidney disease and hypertension is prescribed a diuretic for blood pressure control. Which statement by the client indicates the need for further teaching regarding these orders?

a. "I will weigh myself every day at the same time."
b. "I will drink only 1 liter of fluid each day."
c. "I will avoid aspirin and aspirin-containing drugs."
d. "I will avoid nonsteroidal an-ti-inflammatory drugs."


B
Diuretics for blood pressure control can lead to fluid volume depletion and can decrease blood flow to the kidney, further decreasing renal function. The client should be instructed to drink at least 2500 mL/24 hr. NSAIDs should be used cautiously because they can reduce kidney blood flow. Aspirin products increase the risk for bleeding and should be avoided.

Nursing

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A nurse is applying the Minnesota Model of Public Health Interventions: Applications for Public Health Nursing Practice steps of surveillance. Which of the following describes the initial action that the nurse would take?

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