A nurse is giving discharge instructions to a client recently diagnosed with chronic kidney disease (CKD). Which statements made by the client indicate a correct understanding of the teaching? (Select all that apply.)
a. "I can continue to take antacids to relieve heartburn."
b. "I need to ask for an antibiotic when scheduling a dental appointment."
c. "I'll need to check my blood sugar often to prevent hypoglycemia."
d. "The dose of my pain medication may have to be adjusted."
e. "I should watch for bleeding when taking my anticoagulants."
ANS: B, C, D, E
In discharge teaching, the nurse must emphasize that the client needs to have an antibiotic prophylactically before dental procedures to prevent infection. There may be a need for dose reduction in medications if the kidney is not excreting them properly (antacids with magnesium, antibiotics, antidiabetic drugs, insulin, opioids, and anticoagulants).
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