The nurse is caring for a client diagnosed with pyelonephritis. Which of the following are appropriate interventions that the nurse should perform? (Select all that apply.)
1. Ensure adequate hydration.
2. Monitor vital signs and fluid balance.
3. Insert a urinary catheter.
4. Provide urinary antiseptics.
5. Monitor electrolytes and creatinine level.
6. Monitor hemoglobin level.
1, 2, 4, 5
The nurse should ensure the client has adequate hydration. The nurse should monitor the client's vital signs, fluid balance, electrolytes, and creatinine level. Urinary antiseptics should be provided as prescribed. A urinary catheter is discouraged because of the risk of urinary tract infection. Monitoring of the hemoglobin level is not necessary with this disorder.
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When a client who has been taking warfarin (Coumadin) for 2 years tells the nurse of plans for oral surgery, the nurse would caution the client to
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A patient with a head injury has a pO2 of 88 and a pCO2 of 58. The nurse realizes that which physiologic process will occur in this patient?
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