The nurse reviews routine postoperative prescriptions for a client with a history of polycystic kidney disease admitted to the surgical floor post- knee arthroscopy. Which routine postoperative prescription should the nurse question?

Rationale: A. Postoperative IV fluids are standard to maintain hydration, and this rate is generally safe. For clients with polycystic kidney disease, careful monitoring of fluid status is required, but a moderate rate of isotonic fluid is acceptable. B. Ketorolac is a nonsteroidal anti-inflammatory drug (NSAID) that can reduce renal perfusion and precipitate acute kidney injury, especially in clients with preexisting kidney disease such as polycystic kidney disease. NSAIDs should be avoided or used with extreme caution in these clients; alternative pain management strategies, such as acetaminophen or opioids if necessary, are safer postoperatively. C. Resuming oral intake once the client is alert and has intact swallowing and gastrointestinal function is standard postoperative care. D. Monitoring renal function in a client with polycystic kidney disease postoperatively is important, especially if nephrotoxic medications or contrast were used. Early labs provide baseline postoperative renal status.