A nurse assesses clients on the medical-surgical unit. Which clients are at risk for kidney problems? (Select all that apply.)
a. A 24-year-old pregnant woman prescribed prenatal vitamins
b. A 32-year-old bodybuilder taking synthetic creatine supplements
c. A 56-year-old who is taking metformin for diabetes mellitus
d. A 68-year-old taking high-dose nonsteroidal anti-inflammatory drugs (NSAIDs) for chronic back pain
e. A 75-year-old with chronic obstructive pulmonary disease (COPD) who is prescribed an albuterol nebulizer
ANS: B, C, D
Many medications can affect kidney function. Clients who take synthetic creatine supplements, metformin, and high-dose or long-term NSAIDs are at risk for kidney dysfunction. Prenatal vitamins and albuterol nebulizers do not place these clients at risk.
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An adolescent client with cystic fibrosis suddenly becomes non-compliant with the medication regime. Which intervention by the nurse will most likely improve compliance for this client?
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A mother has brought her 8-month-old daughter to the healthcare clinic for a well-child appointment and any needed immunizations
To assess the child's physical development with age-appropriate norms, which of the following questions should the nurse ask? Is your child able to: a. Walk while holding onto furniture? b. Crawl on her hands and knees? c. Pick up food with her fingers? d. Sit up without support?