The nurse is planning care for a client with chronic kidney disease who is a resident at a long-term nursing facility. The client is anuric and has hemodialysis 3 times a week. Which intervention should the nurse include in the client's plan of care?

A. Initiate toileting schedule: Because the client is anuric and does not produce urine, a toileting schedule is unnecessary and would not contribute to their care. B. Provide perineal skin barrier cream: While skin care is important, the absence of urine output reduces the risk of urinary-related skin breakdown, so this is not a priority intervention. C. Encourage intake of high potassium foods: Clients with anuria and CKD are at high risk for hyperkalemia. Encouraging high potassium intake could be dangerous and is contraindicated. D. Monitor for signs of anemia: Chronic kidney disease often leads to reduced erythropoietin production, causing anemia. Monitoring for fatigue, pallor, and lab values is essential for timely intervention and maintaining client safety.