Final answer:
The initial action for a nurse caring for a client with prerenal acute kidney injury is to assess the client's blood pressure. Subsequent actions can include checking for symptoms of prostate enlargement, monitoring daily weights, and considering an indwelling urinary catheter, all under the direct supervision of a registered nurse.
Step-by-step explanation:
Assessment for Prerenal Acute Kidney Injury
When caring for a client diagnosed with prerenal acute kidney injury, it is imperative for the nurse to take immediate and appropriate action. The first step should be to assess the client's blood pressure, as prerenal causes of kidney injury are often related to hypoperfusion, which could be due to hypotension or reduced cardiac output. After establishing the hemodynamic status, further assessment and interventions can follow, such as checking for symptoms indicating prostate enlargement, closely monitoring the client's daily weights, and possibly inserting an indwelling urinary catheter if appropriate. It is essential that the nurse considers all relevant factors, including history of renal function, that may inform the treatment for prerenal acute kidney injury.
The nurse, under the direct supervision of a registered nurse, may also be involved in providing and monitoring dialysis treatments if necessary, depending on the client's current condition and treatment plan developed in response to prerenal acute kidney injury.