A nurse is reviewing the BUN result of a client who is taking cyclosporine following a kidney transplant. Which of the following laboratory studies should the nurse recognize as another renal function study that should be monitored?

Rationale:
A. Assess pressure points every 24 hr: Skin assessment should be performed at least every shift or more frequently in high-risk clients. Waiting 24 hours between assessments increases the risk of progression from erythema to ulceration due to unrelieved pressure.

B. Turn and reposition the client every 3 hr while in bed: Clients at risk for pressure injuries should be repositioned at least every 2 hours in bed to promote circulation and reduce tissue ischemia. Extending this interval to 3 hours is inadequate for prevention or healing.

C. Teach the client to shift his weight every 15 min while sitting: Teaching the client to perform weight shifts every 15 minutes reduces pressure on the ischial areas, promoting blood flow and preventing further skin breakdown. This intervention empowers self-care and is a key preventive strategy for wheelchair-bound clients.

D. Place the client upright on a donut-shaped cushion: Donut cushions can impair circulation around the pressure site by concentrating pressure on surrounding tissue, worsening ischemia and tissue damage. Pressure-redistribution cushions or gel pads are safer alternatives.

Rationale:
A. Ensure each individual can respond defensively about the conflict: Encouraging defensive responses escalates tension and does not promote resolution. The goal is to facilitate understanding and collaboration, not defensiveness.

B. Use passive listening techniques during conflict resolution: Passive listening may miss key information and prevent the manager from fully understanding the concerns. Active and empathetic listening is necessary to address the conflict effectively.

C. Gather individual information regarding the conflict: Collecting perspectives from each person involved helps the nurse manager understand the root causes, identify common themes, and develop an appropriate strategy for resolution. This is a critical step in structured conflict management.

D. Ask closed-ended questions about the conflict: Closed-ended questions limit responses and do not allow individuals to fully express their concerns or feelings. Open-ended questions are more effective for exploring issues in depth.