In caring for a client with pyelonephritis, which nursing intervention is appropriate?

Monitoring the client's urine for color changes is an appropriate nursing intervention for a client with pyelonephritis. This condition is characterized by inflammation of the kidneys, often due to a bacterial infection. Changes in urine color can indicate various factors, including the presence of blood, pus, or concentrated urine, which may signal dehydration or worsening infection.

By closely observing for any changes in urine characteristics, the nurse can assess the severity of the condition and the effectiveness of treatment measures. For instance, dark or cloudy urine might suggest infection or dehydration, while pink or red urine could indicate hematuria. This information can be crucial for timely interventions and communicating changes in the client’s status to the healthcare team.

In contrast, the other options do not align with the best practices for a patient suffering from pyelonephritis. A high-protein diet may not be beneficial and could potentially lead to more strain on the kidneys. Limiting fluid intake is usually counterproductive in treating urinary tract infections, as adequate hydration is critical for flushing out bacteria. Administering antacids is generally not a primary nursing intervention in pyelonephritis care and would typically not address the root causes of the condition.