A client, aged 75, is diagnosed with a renal disease and administered nephrotoxic drugs in normal doses. The nurse is aware that it is important to observe the client closely for any changes in renal status. Which of the following measures may help a nurse determine a change in renal status?
A) Observing the client's fluid intake.
B) Checking for a thrill or a bruit daily.
C) Observing the client's urinary output.
D) Observing the skin color and nail beds.

Question

Quizplus · Accepted Answer

Observing the client's urinary output is the most appropriate measure for determining changes in renal status, as it provides information on kidney function and any potential issues with urine production or elimination. Monitoring fluid intake can be helpful in managing fluid balance, but it does not provide direct information on renal status. Checking for a thrill or a bruit may be important in assessing vascular access sites, but it is not directly related to renal function. Observing skin color and nail beds can provide information on overall health status, but does not specifically address changes in renal function.

A Client, Aged 75, Is Diagnosed with a Renal Disease