A 60-year-old client who is on sulfonamide therapy has impaired ...

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A 60-year-old client who is on sulfonamide therapy has impaired urinary elimination. She does not want to increase her oral fluid intake because of fear of incontinence. Which of the following nursing interventions would be most appropriate?
 
  A) Inform the client that there is no need to increase fluid intake.
  B) Inform the client that increasing fluid intake will not result in incontinence.
  C) Teach the client the times to take fluids to maintain continence.
  D) Increase fluid intake by 1000 mL instead of 2000 mL to avoid incontinence.

Question 2

A client who is on sulfonamide therapy is about to be discharged. Which of the following precautions should the nurse instruct the client to follow to reduce the effects of photosensitivity?
 
  A) Wear protective clothing and sunscreen when outside.
  B) Increase fluid intake.
  C) Avoid lights while indoors.
  D) Wear protective footwear.

[amandanbreshears]

Answer to Question 1

Ans: C
Feedback:
The nurse's responsibility is to help the client overcome the fear of incontinence and to teach her when to take fluids to maintain continence. Instead of telling the client that increasing fluid intake has no effect on continence, the nurse should focus on helping the client with her problems of incontinence. The nurse should instruct the client to increase the fluid intake by at least 2000 mL, instead of only 1000 mL; however, this will not help control incontinence.

Answer to Question 2

Ans: A
Feedback:
The nurse should encourage a client to wear protective clothing while going out in the sun to reduce the effect of photosensitivity. While increasing the fluid intake is recommended, it does not help combat the effects of photosensitivity. There is no need to avoid lights while indoors; the skin becomes sensitive only to harsh sunlight during sulfonamide therapy. Wearing protective footwear may protect the feet from injury, but it will not protect the skin from the harmful effects of photosensitivity.

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Gracias!

[jomama]

TYSM