A nurse is monitoring a pregnant client in the maternity unit. Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
Explanation & Rationale
Final Bowtie Mapping Condition: Acute kidney injury (AKI) Actions: Administer intravenous fluids; Monitor renal perfusion Parameters: Urine output; Serum creatinine levels Condition Acute kidney injury (AKI) Rationale: The client shows a rise in creatinine (0.9 → 1.2 mg/dL), a drop in eGFR (90 → 85 mL/min/1.73 m²), and persistent proteinuria. These changes over a short period suggest acute kidney injury rather than chronic kidney disease. Gestational hypertension and preeclampsia are less likely because blood pressure is stable and there are no neurological symptoms. ✅ Actions to Take Administer intravenous fluids Rationale: Helps restore renal perfusion and address possible prerenal causes of AKI. Monitor renal perfusion Rationale: Ensures kidney function is supported and detects worsening injury early. 📊 Parameters to Monitor Urine output Rationale: Direct indicator of renal function and perfusion. Serum creatinine levels Rationale: Tracks progression or resolution of AKI.