The nurse is preparing the patient to be transferred to a medical unit before discharge. She has begun discharge teaching regarding at home monitoring for the diagnosis of acute tubular necrosis. What statements by the patient indicate understanding of at home care?
  1. “I need to check my weight daily.”
  2. “I can continue with activity as I normally would.”
  3. “I will try to take my medications if I remember.”
  4. “I will take ibuprofen for pain control.”
Explanation
Answer: A - The patient indicates understanding of at home care when he verbalizes that he needs to check his weight daily to monitor for fluid balance and watch for weight gain. Non-steroidal anti-inflammatory medications such as ibuprofen can contribute to acute tubular necrosis and should be avoided. Strict adherence to prescribed medications should be emphasized and patients should be aware that they need to rest more.
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