A client with hydronephrosis has undergone stent placement to relieve the obstruction. The priority action of the nurse is to
a. assess serum electrolytes and glucose levels.
b. monitor for manifestations of urinary tract infection.
c. monitor vital signs every 30 minutes for the first 4 hours.
d. provide accurate hourly fluid volume replacement.
D
All options are valid after stent placement to treat hydronephrosis with obstruction. But fluid management during this period is crucial; hourly fluid replacement is based on the previous hour's output. The diuresis after the surgery is likely to be profuse, and fluid volume deficit is a risk.
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