A nurse is preparing a plan of care for an older adult client who ...

[erika]

A nurse is preparing a plan of care for an older adult client who is receiving sulfonamide therapy. Which of the following would the nurse include in the plan of care to reduce the likelihood of causing renal damage? Select all that apply.
 
  A) Administer sulfonamides once daily.
  B) Increase fluid intake up to 2000 mL if tolerated.
  C) Use sulfonamides cautiously in clients with renal impairment.
  D) Administer the dose intravenously instead of orally.
  E) Ask the prescriber to change the medication ordered.

Question 2

A nurse is applying silver sulfadiazine to a client's burn. Which of the following would be important for the nurse to do? Select all that apply.
 
  A) Clean and remove debris from the burned area before application
  B) Allow air drafts over the burn area to speed the healing process
  C) Apply a 1/2-inch-thick layer of cream to the burn
  D) Wear sterile gloves when applying the cream to the burn
  E) Warn client of burning sensation during and shortly following application

[aadams68]

Answer to Question 1

Ans: B, C
Feedback:
Older adults experience a decline in renal function with aging. Therefore, sulfonamides must be used cautiously in older clients. In addition, increasing fluid intake up to 2000 mL daily can decrease the likelihood of causing renal damage in older clients. The drug is administered throughout the day, not as a once-daily dose. Sulfonamides can affect renal function regardless of the route administered. Asking the prescriber to change the medication ordered may be appropriate but is not necessary as long as the drug is administered cautiously and the client is monitored closely.

Answer to Question 2

Ans: A, D, E
Feedback:
When applying silver sulfadiazine cream to a burn, clean and remove debris from the burned area, apply cream while wearing sterile gloves, apply a 1/16-inch-thick layer to the area, keep the client away from air drafts to decrease pain, and warn the client that he or she may experience a burning sensation during and shortly following cream application.

[erika]

Thank you!

[aadams68]

Always glad to help...