Final answer:
The nurse should initiate seizure precautions for the child with AKI and a low sodium level. Monitoring the child's blood pressure regularly and weighing them daily at the same time are also important parts of care. Ibuprofen is contraindicated due to the risk of further kidney damage.
Step-by-step explanation:
A nurse planning care for a school-age child in the oliguric phase of acute kidney injury (AKI) with a sodium level of 129, should include initiating seizure precautions for the child. This intervention is critical due to the child's hyponatremia, which can lead to cerebral edema and increased seizure risk. The oliguric phase of AKI is characterized by reduced urine output, and the low sodium level indicates a disturbance in electrolyte balance. The child's blood pressure should be monitored regularly, rather than just every 8 hours, to assess for hypertension or hypotension related to the AKI. Regular weighing is also important, but it should be done daily and at the same time each day to accurately monitor fluid status. Ibuprofen should be avoided as it may exacerbate kidney injury.
It's worth noting that for a patient suffering from hypokalemia, a health care aide may indeed retrieve a bag of 0.5% KCl for IV administration, as ordered by a physician. In cases of dehydration, various solutions such as NaCl or a mixture of isotonic saline and Na lactate may be administered parenterally to correct electrolyte imbalances. Additionally, hypertension can be treated with diuretics that work on the loop of Henle, altering the reabsorption of Na+ and Cl- and potentially increasing urination frequency.