A nurse is contributing to the plan of care for a client who has an intestinal obstruction and is receiving continuous gastrointestinal decompression using a nasogastric tube. Which of the following interventions should the nurse include in the plan of care?

B. Tamsulosin use and adverse effects

Rationale: Tamsulosin is an alpha-1 blocker commonly prescribed to alleviate BPH symptoms. Education should include how to take the medication, its purpose, and potential side effects, such as dizziness, headache, or orthostatic hypotension.

C. Urinary tract infection manifestations

Rationale: BPH can increase the risk of urinary tract infections (UTIs) due to urinary retention. The client should be aware of symptoms like burning during urination, frequent urination, or cloudy urine to seek timely medical attention.

E. Signs of worsening BPH

Rationale: It's essential for clients to recognize signs that their BPH is worsening, such as severe urinary retention, acute urinary obstruction, or significant changes in urinary patterns. This helps in early intervention and prevents complications.

F. Lifestyle modifications for managing symptoms

Rationale: Clients should be educated on lifestyle changes that can help manage BPH symptoms, such as avoiding caffeine and alcohol, reducing fluid intake before bedtime, and practicing pelvic floor exercises.

Note:

A. Increasing exercise

Rationale: While exercise is beneficial for overall health, it is not specifically targeted for managing BPH symptoms. It can be part of a healthy lifestyle but isn't a primary focus of BPH-specific education.

D. A diet low in calcium oxalate

Rationale: A diet low in calcium oxalate is typically recommended for individuals with kidney stones, not specifically for BPH management.

A.Gentamicin is known to be nephrotoxic and can potentially cause kidney damage, especially if not properly monitored for dosage and duration of use. Therefore, this client is at increased risk for AKI due to the medication.

B.Heart failure, particularly when it is acute or decompensated, can reduce renal perfusion, leading to prerenal acute kidney injury. In heart failure, the reduced cardiac output leads to decreased blood flow to the kidneys, which can impair kidney function and result in AKI.

C.Postoperative clients may have hypovolemia, hypotension, or sepsis, all of which are common triggers of AKI. Surgery-related stress and anesthesia may also decrease renal perfusion.

D.Pneumonia itself does not directly cause acute kidney injury. In the absence of complications like sepsis or dehydration, pneumonia alone is not a significant direct risk for AKI.

E. Systemic lupus erythematosus (SLE) can cause lupus nephritis, an intrarenal cause of AKI. An exacerbation increases this risk due to inflammation or immune complex deposition in the kidneys.