A nurse is assisting with developing the plan of care for a client who requires airborne precautions. Which of the following actions should the nurse suggest?

A. This option involves informing the healthcare provider about the lack of urinary output. This is important because it could indicate an obstruction or clot formation in the urinary catheter or drainage system, which may require immediate intervention.
B. Checking the patency of the urinary catheter tubing is crucial. The nurse should assess for any kinks, twists, or clots that may be obstructing urine flow. Flushing the catheter per protocol or irrigating it with sterile saline may help clear any obstruction.
C. Increasing oral fluids may help promote urine production once any obstruction or issue with the catheter is resolved. However, this action should come after addressing the immediate concern of no urinary output and ensuring the catheter's patency.
D. While pain management is important postoperatively, administering an analgesic is not the priority in this scenario where there is no urinary output. Pain from the procedure is typically managed with medications prescribed on a schedule or as needed, but it does not address the acute issue of urinary obstruction.

A. Body weight is one of the most reliable indicators of fluid status in a dialysis patient. Before and after each hemodialysis session, the nurse should weigh the client using the same scale under similar conditions (e.g., same clothing). The difference in weight reflects fluid loss during the dialysis treatment. This measurement helps guide adjustments in fluid management and dialysis prescriptions.
B. Abdominal girth can increase due to fluid accumulation in the abdomen (ascites) but is less specific for measuring fluid losses during dialysis. It may be more indicative of fluid retention over a longer period rather than immediate changes related to a single dialysis session.
C. Neck vein distention can be a sign of fluid overload but is not typically used to assess fluid losses during dialysis. It may be more relevant for assessing fluid status over time rather than immediate changes post- dialysis.
D. Blood pressure can fluctuate based on various factors, including fluid status. While blood pressure monitoring is essential in dialysis patients, it alone does not reliably reflect fluid losses during dialysis sessions.