A nurse is planning care for a client who has chronic kidney disease. Which of the following interventions would help the client meet a priority outcome?
a. Delegate monitoring vital signs during dialysis to the nurses' aide.
b. Instruct the client not to get out of bed without assistance.
c. Place a sign on the door outlining the fluid allotment for each shift.
d. Plan to weigh the client each morning on the same scale.
B
Almost 90% of clients with chronic kidney disease have renal osteodystrophy. This deminerali-zation of the bones leaves them vulnerable to fracture with slight trauma. The client should have assistance when getting out of bed to avoid injury. Client safety is a TJC priority. Option a does not meet a client outcome; option c is a good idea, except then the client cannot see how fluids are divided over the day; option d is a good intervention to monitor fluid status, but does not address a safety need.
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