Consulting with the healthcare team is crucial for individualized patient care. The actions indicated or contraindicated here may also depend on specific patient factors or clinical judgment, so always confirm with the patient's healthcare provider for precise care directions.
Nursing Action - Indicated - Contraindicated - Nonessential
1. Consult with dietician to provide a low caloric diet.
2. Obtain daily weights.
3. Medicate with ibuprofen every 6 hours as needed for complaint of pain.
4. Focus on providing holistic nursing care to the patient.
5. Carefully consider the type, frequency, and dosage of the patient’s prescribed antibiotic therapy.
6. Assess for the presence of bowel sounds every 4 hours.
Rationale:
1. Consult with dietician to provide a low caloric diet: Indicated. This action is relevant due to the patient's altered renal function and acute kidney injury. A low caloric diet may be necessary to manage the patient's condition effectively.
2. Obtain daily weights: Indicated. Monitoring weight daily can provide essential information about fluid balance, especially important in cases of kidney injury and infection.
3. Medicate with ibuprofen every 6 hours as needed for complaint of pain: Contraindicated. Ibuprofen is not recommended in cases of acute kidney injury as it can further compromise kidney function.
4. Focus on providing holistic nursing care to the patient: Indicated. Holistic care is always beneficial for a patient's overall well-being and is relevant in this case too.
5. Carefully consider the type, frequency, and dosage of the patient’s prescribed antibiotic therapy: Indicated. Given the change in antibiotic therapy due to the sensitivity results of the urine culture, careful consideration is crucial for effective treatment.
6. Assess for the presence of bowel sounds every 4 hours: Indicated. Regular assessment of bowel sounds is a part of routine nursing care, although it may not directly impact the acute kidney injury, it is important for overall patient assessment and management.