Nurses’ Notes Three days ago: 1300 The client returns to the…
Nurses’ Notes Three days ago: 1300 The client returns to the unit after undergoing an inguinal hernia repair. They have no reports of pain. Urinary catheter in place and draining is clear, yellow urine. The client reports no past medical history but has a family history of hypertension. The client reports they do not drink alcohol, do not smoke, and are not sexually active. Yesterday: 1200 Urinary catheter removed per provider order. Client voided 200mL clear, yellow urine without difficulty. Today: 1000 The client complains of urinary frequency, burning, and urgency. They state, “I had to get up 6 times to use the urinal last night, but didn’t put out much urine.” Provider notified. Prescriptions were received to check post-void residual. Diagnostic Results Today 1100: Post-void residual ultrasound 22 mL urine. Laboratory Results Three days ago: 0800 Urinalysis Appearance clear Color pale yellow pH 6 (4.6 to 8) Protein 0 mg/dL (0 to 8 mg/dL) Specific gravity 1.015 (usually, 1.01 to 1.025) Leukocyte esterase negative Nitrites negative Ketones none Today: 1100 Urinalysis Appearance cloudy Color dark amber pH 8 (4.6 to 8) Protein 0 mg/dL (0 to 8 mg/dL) Specific gravity 1.015 (usually, 1.01 to 1.025) Leukocyte esterase positive Nitrites positive Ketones none Vital Signs Today: 1000 Temperature 100.4˚F (38˚C) – Heart rate 88/min – Respiratory rate 19/min – Blood pressure 118/85 mm Hg QUESTION: Suspected Client Condition 1 pt Actions to Take .5pt each and Parameters to Monitor .5pt each and