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 ["A","B","D"]

Explanation

Choice A reason: Nausea is a common symptom of digoxin toxicity. Elevated levels of digoxin can cause gastrointestinal disturbances, including nausea.

Choice B reason: Vomiting is also a common symptom of digoxin toxicity. The medication can irritate the stomach and lead to vomiting.

Choice D reason: Hyperglycemia is not typically associated with digoxin toxicity. This symptom is unrelated to the effects of elevated digoxin levels.

Choice E reason: Photophobia is not a common symptom of digoxin toxicity. Symptoms of digoxin toxicity are more likely to be gastrointestinal or cardiovascular in nature.

A. Blood urea nitrogen B. Hematocrit C. Brain natriuretic peptide (BNP) D. Hemoglobin

Correct Answer is C

Explanation

Choice A reason: Blood urea nitrogen (BUN) levels are used to assess kidney function and are not specific to heart failure.

Choice B reason: Hematocrit levels indicate the proportion of red blood cells in the blood and are not specific to heart failure. They are used to assess anemia and other blood disorders.

Choice C reason: Brain natriuretic peptide (BNP) levels are elevated in heart failure. BNP is released by the ventricles in response to increased pressure and volume overload. Monitoring BNP levels helps assess the severity of heart failure and the effectiveness of treatment.

Choice D reason: Hemoglobin levels indicate the oxygen-carrying capacity of the blood and are used to assess anemia but are not specific to heart failure.

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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 nurse is caring for a client who was prescribed digoxin. Which manifestations correlate with a digoxin level of 3.0 (Range: 0.8-2.0)? (Select all that apply)

Correct Answer is ["A","B","D"]

Explanation

A client seen in the clinic with shortness of breath and fatigue is being evaluated for a possible diagnosis of heart failure. Which laboratory result will be the most useful to monitor?

Correct Answer is C

Explanation

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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)