A 75-year-old patient with a history of renal impairment is admitted to the primary health care center with a UTI and has been prescribed a cephalosporin
Which of the following interventions is most important for the nurse to perform when caring for this patient?
A) Monitoring fluid intake
B) Monitoring blood creatinine levels
C) Testing for occult blood
D) Testing for increased glucose levels
Ans: B
Feedback:
An elderly patient is more susceptible to the nephrotoxic effects of the cephalosporins. Since renal impairment is present, it is important for the nurse to closely monitor the patient's blood creatinine levels. The nurse should conduct a test for occult blood if blood and mucus occur in the stool and monitor the fluid intake if there is a decrease in urine output. The nurse does not need to monitor for increased glucose levels unless the patient has a history of diabetes.
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