Which client should the nurse prioritize in a situation?

The situation requires the nurse to prioritize the client who is admitted with acute pyelonephritis whose IV line is infiltrated. Acute pyelonephritis is a serious kidney infection that can lead to significant complications, particularly if the condition worsens or if the client becomes septic. An infiltrated IV line indicates that the medication or fluids intended for the client are not being delivered effectively, which can delay treatment and exacerbate their condition.

In this case, prompt intervention is crucial because effective intravenous access is necessary to administer antibiotics, fluids, and other supportive measures to combat the infection. Ensuring that the IV line is functional can prevent further complications and stabilize the patient’s condition.

While the other clients also present with important issues, they are not as immediately life-threatening as the situation with the infiltrated IV line in the context of acute pyelonephritis. For example, a client scheduled for surgery who has questions may require reassurance but is not in critical danger, and a client post-colostomy with a leaking bag, while uncomfortable, does not typically pose an immediate threat to life. The client with a total hip replacement reporting no bowel movement may indicate a need for further assessment but does not require immediate action compared to the risk associated with an