A patient with an acute kidney injury is identified as being at risk for infection. Which of the following interventions would be appropriate for this patient?
1. frequent hand hygiene
2. minimal manipulation of venous access devices
3. turn and reposition when necessary
4. limit the use of antibiotic therapy
1
Rationale: Nursing interventions for the patient with acute kidney injury at risk for infection include frequent hand hygiene, vascular access care, minimize pneumonia, and prevent the onset of skin wounds. The intervention most appropriate for this patient would be frequent hand hygiene. The venous access devices should be routinely assessed, cleaned, dressed, and changed. The patient should be turned and repositioned every 2 hours to prevent the pooling of secretions in the lungs and reduce the likelihood of pressure ulcer development. Antibiotic therapy is indicated in the patient with an acute kidney injury however the dosage will need adjustment according to the patient's renal clearance rate.
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