A nurse is assisting in the care of a client who is to receive a transfusion of packed red blood cells (PRBCs). Which of the following solutions should be administered with PRBCs?

Choice A reason: Having a bologna sandwich is not a good choice for a client who has hypertension, as bologna is a processed meat that contains high amounts of sodium and saturated fat, which can raise blood pressure and cholesterol levels.

Choice B reason: Seasoning food with vinegar is a good choice for a client who has hypertension, as vinegar is a low-sodium condiment that can add flavor and acidity to food without increasing blood pressure.

Choice C reason: Seasoning food with ketchup is not a good choice for a client who has hypertension, as ketchup is a high-sodium condiment that can increase blood pressure and fluid retention.

Choice D reason: Having canned soup is not a good choice for a client who has hypertension, as canned soup is a high-sodium food that can increase blood pressure and fluid retention. The client should choose low-sodium or homemade soup instead.

Choice A reason: Restricting the client's calorie intake to no more than 2,000 calories per day is not an appropriate action, as it can impair wound healing and increase the risk of infection or malnutrition. The nurse should provide adequate calories and protein to meet the increased metabolic demands and support tissue repair and regeneration.

Choice B reason: Changing sterile gloves between caring for wounds on different areas of the body is an appropriate action, as it can prevent cross-contamination and infection of the burn wounds, which are susceptible to bacterial colonization and sepsis.

Choice C reason: Limiting movement or bending of the client's affected extremities is not an appropriate action, as it can cause contractures, joint stiffness, or muscle atrophy in the burned areas. The nurse should encourage early and frequent range of motion exercises and use splints or positioning devices to maintain functional alignment and mobility.

Choice D reason: Administering a diuretic if the client's urine output falls below 30 mL/hr is not an appropriate action, as it can worsen dehydration, electrolyte imbalance, or renal failure that can occur after severe burns. The nurse should monitor fluid status and urine output closely and administer intravenous fluids as prescribed to maintain adequate hydration and perfusion.