A client asks the nurse why she needs to increase her fluid ...

[CORALGRILL2014]

A client asks the nurse why she needs to increase her fluid intake while taking sulfonamides. Which response by the nurse would be most appropriate?
 
  A) The fluids will help to decrease your risk for kidney stones.
  B) You need fluids so that you won't develop a reaction in the sunlight.
  C) Fluids prevent you from getting dehydrated.
  D) You need fluids to keep your blood count from dropping too low.

Question 2

A client develops a cough and fever and laboratory test results reveal leukopenia after the client receives sulfonamide therapy. When developing the client's plan of care, the nurse would identify which nursing diagnosis?
 
  A) Impaired Urinary Elimination
  B) Impaired Skin Integrity
  C) Risk for Secondary Infection
  D) Deficient Knowledge

[tjayeee]

Answer to Question 1

Ans: A
Feedback:
With sulfonamides, the client is at risk for crystalluria and kidney stones. Increasing fluid intake helps to reduce the risk for their development. Fluids will have no effect on the development of photosensitivity or maintaining blood counts. Although fluids help to minimize the risk for dehydration, this is not the reason for increasing fluid intake with sulfonamide therapy.

Answer to Question 2

Ans: C
Feedback:
Fever and leukopenia suggest an infection, which can occur secondarily with sulfonamide therapy. Therefore, Risk for Infection would be the most appropriate nursing diagnosis. Impaired Urinary Elimination would be appropriate if the client was experiencing changes in urinary output. Impaired Skin Integrity would be appropriate if the client developed a rash or hypersensitivity reaction. Deficient Knowledge would be appropriate if the client lacked understanding of the drug therapy, which is not evident in this situation.

[CORALGRILL2014]

Thank you!

[tjayeee]

Always glad to help...