A nurse is caring for a client on the medical-surgical unit….
A nurse is caring for a client on the medical-surgical unit. Nurses’ Notes 4/25/2024 (1300) – Client admitted to 4C (Surgical Step-Down) post inguinal hernia repair. Client denies reports of pain. Urinary catheter in place and draining is clear, yellow urine. Client denies past medical history and reports family history of hypertension. Client denies ETOH consumption, smoking, and is not currently sexually active. 4/26/2024 (1200) – Urinary catheter removed per provider order. Client voided 200mL clear, yellow urine without difficulty. 4/27/2024 (1000) – The client complains of urinary frequency, burning, and urgency. Cient states, “I had to get up 6 times to use the urinal last night, but didn’t put out much urine.” Provider notified. Prescription received to check post-void residual. Current Labs/Diagnostics: 4/25/2024 (0800) Urinalysis Color: Pale Yellow Appearance: Clear pH: 6 (4.6 – 8) Protein: 0 mg/dL (0 – 8 mg/dL) Specific gravity: 1.015 (1.01 – 1.025) Leukocyte esterase: NEG Nitrites: NEG Ketones: NONE 4/27/2024 (1100) Urinalysis Color: Dark Amber Appearance: Cloudy pH: 8 (4.6 – 8) Protein: 0 mg/dL (0 – 8 mg/dL) Specific gravity: 1.015 (1.01 – 1.025) Leukocyte esterase: POS Nitrites: POS Ketones: NONE 4/27/2024 (1100) – Post-void residual ultrasound 22 mL urine. Vital Signs: 4/27/2024 (1000): Temp: 100.4 F (38 C) HR: 88 bpm RR: 19 BP: 118/85 mmHg *** Complete the statements by using the choices below to specify A) What condition the client is most likely experiencing, B) 2 actions the nurse should take to address that condition C) 2 parameters the nurse should monitor to assess the client’s progress.