A nurse is caring for a client who is 2 hr postoperative following orthopedic surgery and reports pain as 10 on a scale of 0 to 10. Which of the following prescriptions should the nurse expect to administer?

A. Raise the drainage bag above the level of the client's abdomen: This would decrease the flow rate of the dialysate. To facilitate proper drainage, the drainage bag should be kept lower than the level of the client's abdomen to allow gravity to assist in the outflow of dialysate.

B. Elevate the client to the high-Fowler's position: Elevating the client to a high-Fowler's position (sitting up at a 90-degree angle) can help improve the flow of dialysate by using gravity to promote better drainage, especially if there is fluid retention in the abdomen.

C. Measure the amount of the dialysate outflow: It's important to measure the dialysate outflow to assess the effectiveness of the dialysis and ensure that the prescribed amount of fluid is being drained. A decrease in outflow could indicate a blockage, kinked catheter, or other complications.

D. Monitor the access site for drainage: While monitoring the access site is important for assessing infection or leakage, a decrease in the dialysate flow rate is not related to drainage from the access site. Therefore, this is not a priority for addressing the decrease in flow rate.

E. Reposition the client onto the other side: Repositioning the client can help resolve any issues with the catheter position, which may be causing the decrease in flow. Moving the client can help improve drainage if the catheter is obstructed or kinked.

A. Excessive urinary output: In syndrome of inappropriate antidiuretic hormone (SIADH), there is decreased urinary output, not excessive output. The body retains water due to increased antidiuretic hormone (ADH), leading to fluid retention.

B. Elevated sodium level: Due to excessive water retention and dilution of electrolytes, clients with SIADH typically experience hyponatremia (decreased sodium level), not an elevated sodium level. The retained water dilutes the body's sodium concentration.

C. Bounding peripheral pulses: Bounding peripheral pulses are expected in SIADH due to fluid overload, as the body retains excessive water. This leads to increased blood volume and can cause the peripheral pulses to feel strong or "bounding."

D. Hyperactive deep tendon reflexes: Hyperactive deep tendon reflexes are typically associated with conditions such as hypercalcemia or hyperthyroidism, not SIADH. SIADH is more likely to cause muscle weakness and fatigue due to hyponatremia.