Answer to Question 1
2, 3, 4, 6
Signs of decreased kidney function are a reduced energy level, metallic taste in the mouth, anorexia, nausea, pruritus, decreased ability to concentrate, decreased urine output, and weight gain from fluid retention. Increased appetite and urine output of 240 mL in 8 hours are not seen in a client with decreased kidney function.
Answer to Question 2
3
The patient should be encouraged to use sitz baths for comfort but not to sit in them for long periods of time. Caffeine, alcohol, and sex should be avoided during the acute phase.