A nurse in a provider’s office is caring for a 68-year-old male client who reports changes in activity tolerance, feeling tired all the time, and difficulty remembering things. The client also states they bruise easily.

Exhibits

Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, what actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client’s progress.

Condition: The client is most likely experiencing B. Acute Renal Failure. This is suggested by the client’s reported anuria (absence of urine), erythema around the arteriovenous fistula (AVF) site, and the CT scan showing distention with fluid and gas in the small intestine.

Action: The nurse should take the following actions to address this condition:

• A. Administer IV fluids as prescribed: This can help manage the client’s hydration and electrolyte balance.
• E. Administer pain medication as prescribed: This can help manage any discomfort the client may be experiencing.

Parameter: The nurse should monitor the following parameters to assess the client’s progress:

• A. Monitor blood pressure: Monitoring blood pressure is crucial in patients with acute renal failure as both hypotension and hypertension can occur.
• E. Monitor urine output: This is a key indicator of kidney function and should be closely monitored. Changes in urine output can provide early signs of improvement or deterioration in the client’s condition.