Care of Patients with Kidney Disorders

The nurse should first fully assess the client for signs of volume depletion and shock, and then notify the provider. The radical nature of the surgery and the proximity of the surgery to the adrenal gland put the client at risk for hemorrhage and adrenal insufficiency. Hypertension is a clinical manifestation associated with both hemorrhage and adrenal insufficiency. Hypertension is particularly dangerous for the remaining kidney, which must receive adequate perfusion to function effectively. Which action should the nurse take first?

A. Reposition the client to promote comfort.

B. Measure the specific gravity of the client's urine.

C. Administer intravenous pain medications.

D. Assess the rate and quality of the client's pulse.

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