A nurse is caring for a client in the nephrology unit. Exhibits In the context of diabetes impacting kidney health, which nursing actions are anticipated or contraindicated in managing potential complications?

Administering NSAIDs for pain relief is contraindicated because NSAIDs can further impair kidney function by reducing renal perfusion and promoting nephrotoxicity. In a client with elevated BUN and creatinine, these drugs can accelerate kidney injury and worsen fluid retention or hypertension. Encouraging a high-protein diet is contraindicated in this scenario. Excess protein intake increases the workload on the kidneys and can exacerbate azotemia in clients with chronic kidney disease, particularly when BUN and creatinine are already elevated. Assessing for signs of fluid overload is an anticipated nursing action. The client presents with edema, periorbital swelling, and decreased urine output, indicating fluid retention. Monitoring for increased edema, lung sounds, weight gain, and blood pressure helps prevent complications such as pulmonary edema or worsening hypertension. Monitoring blood glucose levels regularly is an anticipated nursing action because diabetes contributes to kidney damage and can complicate the management of chronic kidney disease. Maintaining optimal glucose control reduces further renal injury and helps prevent acute complications such as hyperglycemia-related fluid shifts.