A patient with chronic kidney disease takes ibuprofen regularly for back pain. Which nursing response is best?
Correct answer: A. Advise the patient to discuss stopping it with the prescriber
- A. Advise the patient to discuss stopping it with the prescriber
- B. Tell the patient to double the dose with meals
- C. Explain that it protects kidney blood flow
- D. Recommend replacing it with another NSAID
Explanation
Nonsteroidal anti-inflammatory drugs can reduce renal blood flow and worsen kidney injury, particularly in chronic kidney disease. The patient should not change prescribed treatment independently, but should promptly discuss safer pain-control options with the prescriber.
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About Renal and Urological Nursing
Covers assessment and care for urinary tract infection, glomerulonephritis, nephrotic syndrome, acute kidney injury, chronic kidney disease, renal stones and urinary obstruction. The subject includes intake and output, urinalysis, fluid restriction, dialysis care and the difference between prerenal, intrinsic and postrenal kidney injury.
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