Which client requires priority follow up by the nurse?

Which client requires priority follow up by the nurse?

• A. A client with periorbital edema due to acute glomerulonephritis.
• B. A client who discarded their first urine sample during a 24-hour collection.
• C. A client receiving continuous bladder irrigation reporting the need to void.
• D. A client returning from hemodialysis who reports dizziness.

Answer: (D)

The client returning from hemodialysis who reports dizziness requires priority follow-up by the nurse due to the potential complications associated with hemodialysis. Dizziness can be a sign of hypotension, electrolyte imbalances, or inadequate fluid removal during the procedure. Given that hemodialysis involves significant changes in the body's fluid and electrolyte balance, any report of dizziness should be promptly assessed to determine the underlying cause and to ensure the client's safety. In contrast, while periorbital edema can indicate important issues related to acute glomerulonephritis, the condition itself may not necessitate immediate intervention compared to the acute nature of dizziness post-dialysis. The client who discarded their first urine sample may create complications for accuracy in kidney function assessment but is not critically unstable. Likewise, a client on continuous bladder irrigation expressing a need to void may require evaluation, but this situation does not generally indicate an immediate threat to life or severe changes in physiological status, making it less urgent than the concern for potential complications following hemodialysis.

The client returning from hemodialysis who reports dizziness requires priority follow-up by the nurse due to the potential complications associated with hemodialysis. Dizziness can be a sign of hypotension, electrolyte imbalances, or inadequate fluid removal during the procedure. Given that hemodialysis involves significant changes in the body's fluid and electrolyte balance, any report of dizziness should be promptly assessed to determine the underlying cause and to ensure the client's safety.

In contrast, while periorbital edema can indicate important issues related to acute glomerulonephritis, the condition itself may not necessitate immediate intervention compared to the acute nature of dizziness post-dialysis. The client who discarded their first urine sample may create complications for accuracy in kidney function assessment but is not critically unstable. Likewise, a client on continuous bladder irrigation expressing a need to void may require evaluation, but this situation does not generally indicate an immediate threat to life or severe changes in physiological status, making it less urgent than the concern for potential complications following hemodialysis.