Question

A nurse is caring for a postoperative 70-kg client who had major blood loss during surgery. Which findings by the nurse would prompt immediate action to prevent acute kidney injury? (Select all that apply.)

a) Urine output of 100 mL in 4 hours.
b) Urine output of 500 mL in 12 hours.
c) Large amount of sediment in the urine.
d) Amber, odorless urine.
e) Blood pressure of 90/60 mm Hg.

Answer 1

To prevent acute kidney injury, the nurse should be concerned by a urine output of 100 mL in 4 hours, a large amount of sediment in the urine, and a blood pressure of 90/60 mm Hg.

Step-by-step explanation:

To prevent acute kidney injury in a postoperative client with major blood loss, the nurse should be concerned by the following findings:

• Urine output of 100 mL in 4 hours: This is below the minimum volume of urine production necessary for proper bodily functions, indicating possible kidney damage.
• Large amount of sediment in the urine: This can be a sign of kidney dysfunction, as healthy kidneys should not produce significant sediment in the urine.
• Blood pressure of 90/60 mm Hg: Hypotension can lead to decreased blood flow to the kidneys and subsequent kidney injury.

These findings should prompt immediate action to prevent further kidney damage and promote proper renal function.