A nurse is preparing a plan of care for an older adult client who is receiving sulfonamide therapy. Which of the following would the nurse include in the plan of care to reduce the likelihood of causing renal damage? Select all that apply
A) Administer sulfonamides once daily.
B) Increase fluid intake up to 2000 mL if tolerated.
C) Use sulfonamides cautiously in clients with renal impairment.
D) Administer the dose intravenously instead of orally.
E) Ask the prescriber to change the medication ordered.
Ans: B, C
Feedback:
Older adults experience a decline in renal function with aging. Therefore, sulfonamides must be used cautiously in older clients. In addition, increasing fluid intake up to 2000 mL daily can decrease the likelihood of causing renal damage in older clients. The drug is administered throughout the day, not as a once-daily dose. Sulfonamides can affect renal function regardless of the route administered. Asking the prescriber to change the medication ordered may be appropriate but is not necessary as long as the drug is administered cautiously and the client is monitored closely.
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