The nurse is preparing to administer methenamine (Hiprex) to a patient who has pyelonephritis. Which action will the nurse perform?
a. Increase fluid intake to 2000 mL per day.
b. Monitor the patient's urine for dark brown color.
c. Order alkaline foods 3 times daily.
d. Request an order for a sulfonamide antibiotic.
ANS: A
Patients who take methenamine can develop crystalluria and should increase fluid intake to prevent this effect. A reddish-brown color is a harmless side effect. Patients should have acidic urine, not alkaline urine. Methenamine taken with sulfonamides increases the risk of crystalluria.
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The patient receiving continuous venovenous hemofiltration with dialysis (CVVHD) is having profound hypotension. What is the most appropriate first nursing action?
A) Reduce blood flow rate B) Obtain an order for a change in the ultrafiltration goal C) Raise the ultrafiltration collection device D) Reduce the infusion rate of replacement fluid
The community health nurse is aware that the goals of Healthy People 2020 include which of the following? (Select all that apply.)
A. Creating physical environments that promote health B. Developing healthy behaviors in children and teens C. Eliminating health disparities and increasing equity D. Improving the health of all groups in the country E. Increasing the average life span for all adults
The nurse is performing a community needs assessment. Which concept is accurate regarding the influence that an individual's peers can have on health promotion behaviors?
a. Peers are more often associated with negatively influencing individual health promotion behaviors. b. Only adolescents and the elderly are susceptible to peer influences regarding health promotion behaviors. c. Peers can positively influence health promotion behaviors, especially if the peer is experiencing benefits from the behavior. d. Celebrity spokespersons have been found to have very little impact on individual health promotion behaviors.
The nurse is caring for a client receiving gentamicin IV. Which adverse effect would the nurse report to the prescriber immediately?
1. Nausea 2. Diarrhea 3. Ototoxicity 4. Increased urinary output