A nurse is planning care for a client who is 2 hours postoperative following a transurethral resection of the prostate (TURP). The client is receiving continuous bladder irrigation. Which of the following interventions should the nurse include?

Choice A Reason:
Administering antibiotics is a primary intervention for AGN when it is caused by a bacterial infection, such as post-streptococcal glomerulonephritis. Antibiotics help eliminate the infection and prevent further damage to the glomeruli.

Choice B Reason:
Encouraging increased fluid intake is not typically recommended for AGN, especially if the client has oliguria or edema, which are common in this condition. Fluid intake may need to be restricted to prevent fluid overload and worsening of hypertension.

Choice C Reason:
Frequent ambulation is not a priority intervention for AGN. While maintaining mobility is important, it does not directly address the renal inflammation or potential complications associated with AGN.

Choice D Reason:
Obtaining weight weekly is important for monitoring fluid status, but it is not the primary intervention. Daily weight measurements are more indicative of fluid retention or loss and are essential for closely monitoring the client's fluid balance.

Choice A reason:
Venous thromboembolism (VTE) is a condition where blood clots form in the deep veins, usually in the legs. While VTE is a risk following trauma and immobilization, the acute onset of shortness of breath and chest pain is less typical for VTE, which more commonly presents with leg pain and swelling.

Choice B reason:
Hypovolemic shock occurs due to significant blood or fluid loss, leading to decreased blood volume and inadequate circulation. While it can result from a motor-vehicle crash, the client's symptoms of shortness of breath and chest pain are not the most indicative of hypovolemic shock, which typically presents with rapid pulse, low blood pressure, and cold, clammy skin.

Choice C reason:
Compartment syndrome is a surgical emergency where increased pressure within the muscle compartments impairs circulation and nerve function. It presents with severe pain, swelling, and sometimes paralysis of the affected limb, but it does not typically cause shortness of breath or chest pain.

Choice D reason:
Fat embolism syndrome (FES) is a serious complication that can occur after long bone fractures. Fat globules may enter the bloodstream and travel to the lungs, leading to respiratory distress, which can manifest as shortness of breath and chest pain. FES can also cause neurological symptoms and a petechial rash. Given the client's symptoms and recent trauma, FES is a likely complication and requires immediate assessment and intervention.