The client has been diagnosed with chronic kidney disease (CKD).
Which of the following lab values should the nurse monitor to assess for renal function?

This is a priority nursing intervention for a client with acute kidney injury (AKI) because it helps to assess the renal function and fluid status of the client. Urine output is also an indicator of the response to treatment and the need for further interventions.

Choice A is wrong because pain medication is not a priority intervention for AKI unless the client has other conditions that cause pain.

Pain medication may also have adverse effects on the kidney function and should be used with caution.

Choice C is wrong because ambulation is not a priority intervention for AKI and may not be appropriate for a client who is fluid overloaded or hypotensive.

Ambulation may also increase the risk of falls and injury in a client who is confused or fatigued.

Choice D is wrong because assisting with meals is not a priority intervention for AKI and may not be necessary for a client who has adequate oral intake.

A client with AKI may also have dietary restrictions such as low protein, low potassium, low sodium, and low phosphorus, which should be considered when providing meals.

This is the only solution that is isotonic and compatible with blood products. It will not cause hemolysis or clotting of the blood cells.

Choice B is wrong because lactated Ringer’s is a balanced electrolyte solution that contains calcium, which can cause clotting of the blood cells.

Choice C is wrong because 5% dextrose is a hypotonic solution that can cause hemolysis of the blood cells.

Choice D is wrong because 5% dextrose in 0.45% sodium chloride is a hypertonic solution that can cause hemolysis of the blood cells.