A 32-year-old patient with a history of polycystic kidney disease ...

[tth]

A 32-year-old patient with a history of polycystic kidney disease is admitted to the surgical unit after having shoulder surgery. Which of the routine postoperative orders is most important for the nurse to discuss with the health care provider?
 
  a. Infuse 5 dextrose in normal saline at 75 mL/hr.
  b. Order regular diet after patient is awake and alert.
  c. Give ketorolac (Toradol) 10 mg PO PRN for pain.
  d. Draw blood urea nitrogen (BUN) and creatinine in 2 hours.

Question 2

The nurse observes unlicensed assistive personnel (UAP) taking the following actions when caring for a female patient with a urethral catheter. Which action requires that the nurse intervene?
 
  a. Taping the catheter to the skin on the patient's upper inner thigh
  b. Cleaning around the patient's urinary meatus with soap and water
  c. Disconnecting the catheter from the drainage tube to obtain a specimen
  d. Using an alcohol-based gel hand cleaner before performing catheter care

[lin77x]

Answer to Question 1

ANS: C
The nonsteroidal antiinflammatory drugs (NSAIDs) should be avoided in patients with decreased renal function because nephrotoxicity is a potential adverse effect. The other orders do not need any clarification or change.

Answer to Question 2

ANS: C
The catheter should not be disconnected from the drainage tube because this increases the risk for urinary tract infection (UTI). The other actions are appropriate and do not require any intervention.

[tth]

TYSM

[yeungji]

Gracias!