Which of the following are complications the nurse should monitor for during dialysis?

A. A client with a blunt chest trauma with some difficulty breathing: Blunt chest trauma with respiratory difficulty indicates pneumothorax or pulmonary contusion. These conditions can deteriorate rapidly if not treated immediately. Airway and breathing always take priority in emergency triage. Early management prevents respiratory failure and severe hypoxia.

B. A client with confusion: Confusion suggests neurological or metabolic issues, but there is no indication of airway or breathing compromise. The condition requires prompt evaluation but does not present the same immediate danger as respiratory distress. The client is more stable and can be safely reassessed once life-threatening issues are addressed.

C. A client with a sore neck who was immobilized in the field on a backboard with a cervical collar: The client may have a spinal injury, but immobilization already provides protection from further harm. There is no evidence of airway or breathing instability that would elevate the urgency. This allows the client to wait safely while higher-priority conditions are treated.

D. A client with a possible fractured tibia with adequate pedal pulses: A tibial fracture is not life-threatening when distal pulses are present, indicating that circulation to the limb is intact. The client is stable and can safely wait while emergent issues are managed first. Orthopedic injuries without vascular compromise pose minimal immediate risk.

A. Encourage fluid intake as tolerated: Maintaining hydration is essential in acute hepatitis to support liver function and overall metabolic processes. Fluids help prevent dehydration from fever or nausea. This order is appropriate and supports recovery.

B. Acetaminophen 1 gm Q4 hrs for fever: Acetaminophen is hepatotoxic in high doses or in the presence of liver disease. In acute hepatitis, frequent high doses can worsen liver injury. The nurse should question this order and consult the provider for safer alternatives to manage fever.

C. Low protein diet: Restricting protein is sometimes recommended temporarily in acute hepatitis if the client develops hepatic encephalopathy. This order is generally appropriate based on clinical status.

D. Bed rest: Fatigue is common in acute hepatitis, and bed rest supports energy conservation and recovery. This order is appropriate for the client’s condition.