/*! This file is auto-generated */ .wp-block-button__link{color:#fff;background-color:#32373c;border-radius:9999px;box-shadow:none;text-decoration:none;padding:calc(.667em + 2px) calc(1.333em + 2px);font-size:1.125em}.wp-block-file__button{background:#32373c;color:#fff;text-decoration:none} Problem 132 2\. In administering NSAID adjun... [FREE SOLUTION] | 91Ó°ÊÓ

91Ó°ÊÓ

2\. In administering NSAID adjunctive therapy to an elderly client with cancer, the nurse must monitor: 1\. BUN and creatinine. 2\. creatinine and calcium. 3\. Hgb and Hct. 4\. BUN and CFT.

Short Answer

Expert verified
The nurse should monitor BUN and creatinine (Option 1).

Step by step solution

01

Identify Key Focus

First, recognize the relationship between NSAIDs (Non-Steroidal Anti-Inflammatory Drugs) and kidney function. NSAIDs can affect renal function, making it important to monitor kidney-related parameters.
02

Analyses of Options

Look at the different monitoring options provided: - Option 1: BUN and creatinine. - Option 2: creatinine and calcium. - Option 3: Hgb and Hct. - Option 4: BUN and CFT. Since NSAIDs primarily affect kidney function, the focus will be on monitoring renal parameters.
03

Evaluate Renal Indicators

Understand that Blood Urea Nitrogen (BUN) and creatinine levels are renal function indicators. Monitoring these can indicate renal impairment or altered renal function, which is crucial when administering NSAIDs.
04

Eliminate Non-Renal Options

Eliminate options that do not focus on kidney function: - Option 3: Hgb (Hemoglobin) and Hct (Hematocrit) are related to blood count, not directly linked to kidney function in the context of NSAID therapy. - Option 2: Calcium is not a primary indicator for kidney function for NSAID users.
05

Confirm the Correct Choice

Option 1 combines BUN and creatinine, which are key markers of renal health. Option 4 misunderstood CFT, which stands for Complement Fixation Test, irrelevant in this context.

Unlock Step-by-Step Solutions & Ace Your Exams!

  • Full Textbook Solutions

    Get detailed explanations and key concepts

  • Unlimited Al creation

    Al flashcards, explanations, exams and more...

  • Ads-free access

    To over 500 millions flashcards

  • Money-back guarantee

    We refund you if you fail your exam.

Over 30 million students worldwide already upgrade their learning with 91Ó°ÊÓ!

Key Concepts

These are the key concepts you need to understand to accurately answer the question.

NSAID Monitoring
When administering NSAID (Non-Steroidal Anti-Inflammatory Drugs) therapy, it's essential to keep an eye on potential side effects. NSAIDs, while effective for reducing inflammation and pain, can have significant impacts on other systems in the body, particularly the kidneys. Regular monitoring is important to catch any early signs of kidney problems. NSAIDs can potentially cause or worsen kidney issues because they reduce blood flow to the kidneys. This reduced blood flow can impair kidney function, increasing the risk of kidney injury or exacerbating existing renal conditions. To manage this risk:
  • Keep track of the patient's kidney function tests regularly.
  • Be observant of any symptoms that might suggest impaired kidney function, like changes in urine output.
  • Communicate closely with healthcare providers to adjust the NSAID dosage or consider alternatives if necessary.
Monitoring is a proactive step to ensure that NSAID therapy remains effective and safe.
Renal Function Indicators
Renal function indicators are key tools in assessing how well your kidneys are working. When patients are on medications like NSAIDs that can affect the kidneys, monitoring these indicators becomes even more crucial. The two primary renal function indicators to watch are:
  • Blood Urea Nitrogen (BUN): BUN levels give insight into the urea waste produced from protein breakdown, usually filtered by the kidneys. An elevated BUN can indicate impaired kidney function.
  • Creatinine: This waste product from muscle metabolism is also filtered by the kidneys. High levels in the blood can suggest that the kidneys are not working as they should.
Regular testing of these indicators helps detect changes early, allowing for timely interventions if the kidneys are under stress or damage. Understanding these tests is part of managing the overall health and wellbeing of patients taking medications like NSAIDs.
Elderly Patient Care
Caring for elderly patients poses unique challenges, particularly when it involves administering medications like NSAIDs that have potential side effects impacting kidney function. Here are some important considerations:
  • Age-Related Changes: As patients age, their kidneys naturally undergo changes that reduce their ability to filter waste. This means the elderly may be more susceptible to kidney damage from medications.
  • Coexisting Conditions: Older adults often have multiple health issues, such as hypertension or diabetes, which can further impair renal functions. Thus, their NSAID use must be carefully managed.
  • Dosage Adjustments: It may be necessary to adjust NSAID dosage according to the patient's overall health status, including kidney function.
  • Close Monitoring: Conduct frequent health assessments and renal function tests to avoid potential complications.
Effective elderly patient care involves a holistic approach, balancing treatment benefits with potential risks. Coordinating with healthcare professionals can ensure safe and tailored treatment plans for this vulnerable group.

One App. One Place for Learning.

All the tools & learning materials you need for study success - in one app.

Get started for free

Most popular questions from this chapter

A newborn requires only sponge baths, not tub baths to: 1\. prevent chilling and heat loss. 2\. prevent overdrying of skin. 3\. prevent vasodilation. 4\. prevent loss of chemicals.

What would be an appropriate outcome for the nursing diagnosis of body image disturbances for a client with anorexia nervosa? 1\. Client verbalizes knowledge of maintenance diet. 2\. Client demonstrates assertiveness with family. 3\. Client verbalizes body size accurately. 4\. Client demonstrates control of obsessive behaviors.

. In planning for pain control in a post-operative cancer patient, the nurse understands: 1\. radiation therapy alone will be used. 2\. noninvasive analgesic approaches should be tried before invasive palliative approaches. 3\. never use radiation therapy, unless you are sure the patient will die. 4\. radiation therapy is complementary to analgesic drug therapies.

The client’s room environment includes: 1\. preparation and making of client’s bed, fresh water, thermostat regulation, cleaning floors and all occupied client’s areas. 2\. preparation and making of client’s bed, ensure comfort and safety, keep area clutter-free, put client’s hygiene articles near. 3\. prevent accidents, provide comfort, wash all areas of room (including furniture) with chloroseptic wash, make client’s bed every other day. 4\. pontrol all odors by spraying room with deodorizers; keep all objects of client’s in closet, wear gloves to clean room.

The functions of the skin are: 1\. protection, sensation, temperature regulation and excretion/secretion. 2\. protection, temperature regulation, acid Ph of the skin is low due to its ability to prevent toxicity. 3\. acid Ph high to prevent toxicity, sensation, second line of defense. 4\. acid Ph high to prevent microorganisms secretion/excretion of all waste materials

See all solutions

Recommended explanations on Biology Textbooks

View all explanations

What do you think about this solution?

We value your feedback to improve our textbook solutions.

Study anywhere. Anytime. Across all devices.