Key nursing interventions for all renal disorders include: (Select all that apply)

Calculation Steps

Step 1: Determine the total urine output in mL.

• Total urine output = 360 mL

Step 2: Determine the child’s weight in kg.

• Weight = 15 kg

Step 3: Determine the time period in hours.

• Time = 12 hours

Step 4: Calculate the urine output in mL/kg/hour.

• Urine output (mL/kg/hour) = Total urine output ÷ (Weight × Time)

Step 5: Perform the multiplication inside the parentheses first.

• Weight × Time = 15 kg × 12 hours = 180 kg·hours

Step 6: Perform the division.

• Urine output (mL/kg/hour) = 360 mL ÷ 180 kg·hours = 2 mL/kg/hour

Result

The child’s urine output is 2 mL/kg/hour.

Choice A: Increase Sodium Intake

Increasing sodium intake is generally not recommended for patients with renal disorders. High sodium intake can lead to fluid retention, hypertension, and worsening of kidney function. Patients with renal disorders are often advised to follow a low-sodium diet to manage these risks.

Choice B: Monitor Intake/Output

Monitoring intake and output (I/O) is crucial for patients with renal disorders. It helps in assessing kidney function and fluid balance. Accurate measurement of fluid intake and urine output can provide valuable information about the patient’s hydration status and kidney function. This intervention is essential for preventing fluid overload and dehydration.

Choice C: Daily Weights

Daily weights are an important intervention for patients with renal disorders. Monitoring weight daily helps in detecting fluid retention early. Sudden weight gain can indicate fluid overload, which is a common issue in patients with kidney problems. By tracking daily weights, healthcare providers can make timely adjustments to the patient’s treatment plan.

Choice D: Monitor Blood Pressure

Monitoring blood pressure is a key intervention for patients with renal disorders. Hypertension is both a cause and a consequence of kidney disease. Regular monitoring of blood pressure helps in managing hypertension and preventing further damage to the kidneys. It also aids in assessing the effectiveness of antihypertensive medications.