A client diagnosed with acute kidney injury has an elevated blood urea nitrogen (BUN) and is experiencing difficulty remembering information. Which interventions should the nurse implement when communicating with this client? (Select all that apply)

Explain treatments in non-technical language

Give simple instructions

Include the family in discussions related to care

Use as many lengthy teaching methods as available to provide discharge instructions

Answer and Explanation

Correct Answer : A,B,C

Choice A reason: Using non-technical language helps ensure that the client can understand the information being communicated, especially when they have difficulty remembering details due to elevated BUN levels affecting cognitive function.

Choice B reason: Giving simple instructions makes it easier for the client to follow and retain the information, reducing the likelihood of confusion or errors in their care routine.

Choice C reason: Including the family in discussions related to care helps ensure that the client has support and that the family members understand the necessary steps for the client's treatment and recovery. This approach also helps reinforce the information for the client.

Choice D reason: Lengthy teaching methods may overwhelm the client, especially when they are experiencing difficulty remembering information. It is more effective to provide concise and clear instructions.

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Correct Answer is D

Explanation

Choice A reason: The ability to repeat three whispered words without difficulty is an assessment of auditory acuity, not a specific finding of the Rinne test. The Rinne test evaluates bone and air conduction of sound.

Choice B reason: Placing the tuning fork on top of the head is part of the Weber test, which assesses lateralization of sound. It is not part of the Rinne test.

Choice C reason: Minimal swaying when standing with feet together and eyes closed is an assessment of balance, known as the Romberg test. It is not related to the Rinne test.

Choice D reason: The Rinne test compares air conduction (next to the ear) with bone conduction (on the mastoid process). Normally, air conduction is heard longer than bone conduction, indicating normal hearing or sensorineural hearing loss. This is the correct expected finding for the Rinne test.

A. Administer an extra dose of albuterol at bedtime B. Use a dehumidifier while at home C. Increase the amount of fluids consumed D. Increase their daily exercise

Correct Answer is C

Explanation

Choice A reason: Administering an extra dose of albuterol at bedtime is not appropriate. The correct approach is to manage bronchial secretions through other means, such as hydration.

Choice B reason: Using a dehumidifier is not recommended for clients with respiratory issues. A humidifier, not a dehumidifier, helps keep the air moist and can help with secretions.

Choice C reason: Increasing the amount of fluids consumed helps to thin bronchial secretions, making them easier to cough up. Hydration is an effective method to manage secretions and improve respiratory function.

Choice D reason: Increasing daily exercise can be beneficial for overall health but is not the primary method to clear bronchial secretions. Hydration is more directly effective in this situation.

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A client diagnosed with acute kidney injury has an elevated blood urea nitrogen (BUN) and is experiencing difficulty remembering information. Which interventions should the nurse implement when communicating with this client? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nursing student is asked by the preceptor what are the expected findings of the Rinne test. What statement by the nursing student is correct?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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