Question

The nurse is caring for a post-op client with a BUN of 60 mg/dL and a creatinine level of 3.2 mg/dL. The provider has ordered an infusion of 1 L of 0.9

1) Assess the client's urinary output.
2) Administer the IV fluid replacement.
3) Question the infusion of 0.9
4) Encourage the intake of protein rich foods in diet.

Answer 1

The nurse should assess the urinary output, administer the IV fluid replacement, and question the infusion of 0.9% saline solution. Encourage intake of protein-rich foods in the diet.

Step-by-step explanation:

The nurse should assess the client's urinary output to determine if it is within the normal range. A BUN level of 60 mg/dL and a creatinine level of 3.2 mg/dL indicate possible kidney dysfunction. The nurse should monitor the client's urine output as a decrease in urine output may indicate kidney impairment.

The nurse should administer the IV fluid replacement as ordered by the provider. However, it is important to question the infusion of 0.9% saline solution because it may further increase the client's BUN and creatinine levels.

The nurse should encourage the client to consume a diet rich in protein. However, if the client has kidney dysfunction, the intake of protein-rich foods should be limited to prevent further accumulation of waste products.