A client is prescribed furosemide, a loop diuretic, for hypertension.
The nurse should instruct the client to monitor for which of the following signs of electrolyte imbalance (Select all that apply).

This is because urinary catheters are a common source of catheter associated urinary tract infections (CAUTIs), which can lead to complications such as pyelonephritis, sepsis, and renal failure. Therefore, the nurse should remove the catheter as soon as possible to reduce the risk of infection and promote normal urinary function.

Choice B is wrong because ensuring that the catheter is properly secured to prevent accidental dislodgement is not a priority intervention for a patient with a urinary catheter.

While this is an important nursing action to prevent trauma and bleeding, it does not address the main complication of catheterization, which is infection.

Choice C is wrong because encouraging the patient to drink fluids to prevent dehydration is not a priority intervention for a patient with a urinary catheter.

While this is a good nursing practice to maintain hydration and renal perfusion, it does not affect the risk of infection associated with catheterization.

Choice D is wrong because administering antibiotics to prevent infection is not a priority intervention for a patient with a urinary catheter.

While this may be indicated for some patients who have signs and symptoms of UTI or who are at high risk of infection, it is not a routine measure for all patients with catheters and may contribute to antibiotic resistance.

This is a priority nursing intervention for a client with acute kidney injury (AKI) because it helps to assess the renal function and fluid status of the client. Urine output is also an indicator of the response to treatment and the need for further interventions.

Choice A is wrong because pain medication is not a priority intervention for AKI unless the client has other conditions that cause pain.

Pain medication may also have adverse effects on the kidney function and should be used with caution.

Choice C is wrong because ambulation is not a priority intervention for AKI and may not be appropriate for a client who is fluid overloaded or hypotensive.

Ambulation may also increase the risk of falls and injury in a client who is confused or fatigued.

Choice D is wrong because assisting with meals is not a priority intervention for AKI and may not be necessary for a client who has adequate oral intake.

A client with AKI may also have dietary restrictions such as low protein, low potassium, low sodium, and low phosphorus, which should be considered when providing meals.