The nurse is caring for a client who has an order for no food or drink by mouth and is receiving intravenous acyclovir. To prevent nephrotoxicity, what is the nurse's action?
Encourage oral fluid intake during the infusion and for 2 hours after the infusion.
Monitor urinary output every 30 minutes.
Provide a low-protein diet for one day before and two days after the acyclovir infusion.
Administer intravenous normal saline boluses, as ordered.
The Correct Answer is A
a. This is the correct answer because maintaining adequate hydration helps prevent nephrotoxicity associated with acyclovir. Encouraging fluid intake during and after the infusion helps flush the drug through the kidneys.
b. While monitoring urinary output is important, it alone may not be sufficient to prevent nephrotoxicity.
c. Providing a low-protein diet is not a standard intervention for preventing acyclovir-induced nephrotoxicity.
d. Administering intravenous normal saline boluses, as ordered, can help maintain hydration and prevent nephrotoxicity. However, encouraging oral fluid intake is a more direct and immediate measure during acyclovir infusion.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D"]
Explanation
a. This statement warrants further education because enteric-coated aspirin is specifically designed to be absorbed in the small intestine and should not be chewed. Chewing the enteric coated aspirin can interfere with its protective coating and may lead to stomach irritation.
b. This statement is correct. Taking the aspirin with food can help minimize stomach irritation.
c. This statement warrants further education. Aspirin, even in low doses, should not be given to young children without consulting a healthcare provider due to the risk of Reye's syndrome.
d. This statement warrants further education. Ringing in the ears (tinnitus) is not a normal side effect of aspirin, and persistent symptoms should be reported to the healthcare provider.
e. This statement is correct. Black, tarry stools can indicate gastrointestinal bleeding, and the healthcare provider should be notified promptly.
Correct Answer is ["0.5"]
Explanation
- The formula is: (Desired dose / Available dose) x Quantity = Number of tablets - In this case: (10 mg / 20 mg) x 1 tablet = 0.5 tablet
- Round the answer to the tenth, or one decimal place, as instructed.
- The final answer is: 0.5 tablet
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