The nurse is caring for a client who has returned for the operating room following a nephrectomy. When providing care, the nurse's priority would be to:
1. ambulate the client as soon as the client recovers from anesthesia.
2. assess urine output hourly.
3. monitor the client for a low-grade fever.
4. give the client a bath on return to the unit.
Answer: 2
1. The client will most likely have tubes and drains. Ambulation will be started after a few days postoperative.
2. Since the client had a kidney removed, the priority is to assess the hourly urine output of the remaining kidney.
3. Most clients will respond to surgery with a low-grade fever.
4. The client may receive a bath the next day. Monitoring urine output is the priority.
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