A critical nursing measure to employ with a patient on any sulphonamide drug is to:
- A. Monitor blood pressure every 30 minutes.
- B. Force fluids.
- C. Watch for tinnitus.
- D. Monitor electrolytes.
Of the options you provided, the most critical nursing measure to employ with a patient on any sulfonamide drug is: C. Watch for tinnitus.
Here's why the other options are less critical or inaccurate:
A. Monitor blood pressure every 30 minutes:
While sulfonamides can affect blood pressure in some cases, it's not a common or critical side effect, and monitoring every 30 minutes is excessive. Routine monitoring as per doctor's orders is sufficient.
B. Force fluids:
While adequate hydration is important for preventing crystal formation in the urine, it's not the most critical measure.
D. Monitor electrolytes:
Sulfonamides can cause electrolyte imbalances, but tinnitus is a more specific and immediate indicator of potential ototoxicity, a serious side effect of sulfonamides.
Tinnitus is a ringing or buzzing sound in the ears that can occur with sulfonamide use. It's important to monitor for this because early detection can lead to discontinuing the medication and preventing permanent hearing loss.
Additional Critical Nursing:
Here are some additional critical nursing measures for patients taking sulfonamides:
- Monitor for allergic reactions:
Sulfonamides can cause skin rashes, fever, and other allergic reactions.
- Monitor for kidney function:
Sulfonamides can affect kidney function, so monitoring urine output and creatinine levels is important.
- Educate the patient about potential side effects:
Inform the patient about the possibility of tinnitus, skin rash, and other side effects and instruct them to report any changes they experience.
By following these measures, nurses can help ensure the safe and effective use of sulfonamide medications for their patients.
