The patient has now been on the medical unit for 3 days. She was diagnosed with pyelonephritis on admission. Vital signs

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The patient has now been on the medical unit for 3 days. She wasdiagnosed with pyelonephritis on admission. Vital signs thismorning: Temperature 98.8 (37.1◦C ), blood pressure100/50 mm Hg, pulse 110 bpm, respirations 24 breaths per minute.The patient is oriented to self only but is awake and alert. Herdaughter is at her bedside. The urine culture results showedenterococci, and therefore the broad-spectrum antibiotic thepatient was receiving was replaced with sensitivity-guidedantibiotic therapy. Abnormal serum laboratory results are asfollows: WBC = 14500/mm3(normal=5000-10000/mm3), BUN = 27 mg/dL (normal = 7-20mg/dL), creatinine 2.0 mg/dL (normal = 0.5-1.1 mg/dL). She has nowbeen diagnosed with acute kidney injury.
NGN Item Type: Matrix
Use an X for the nursing actions listed below that areIndicated (appropriate or necessary), Contraindicated (could beharmful), or Nonessential (makes no difference or not necessary)for the patient’s care at this time. Only one selection can be madefor each nursing action.
Nursing Action
Indicated
Contraindicated
Nonessential
Consult with dietician to provide a low caloric diet.
Obtain daily weights.
Medicate with ibuprofen every 6 hours as needed for complaint ofpain.
Focus on providing holistic nursing care to patient.
Carefully consider the type, frequency, and dosage of thepatient’s prescribed antibiotic therapy.
Assess for the presence of bowel sounds every 4 hours.
Rationale:
Cognitive Skill: Take Action