A client scheduled for a CT scan of the abdomen with contrast has a baseline creatinine level of 2.3 mg/dL. In preparing this client for the procedure, the nurse anticipates what orders?

Preprocedure hydration with 0.45% NaCl

Administration of acetylcysteine

Hemodialysis immediately prior to the CT scan

Obtain a creatinine clearance by collecting a 24-hour urine specimen.

Answer and Explanation

The Correct Answer is B

A. Preprocedure hydration with 0.45% NaCl may be considered, but isotonic fluids like 0.9% NaCl are generally preferred to help flush the contrast agent.
B. Administration of acetylcysteine is commonly ordered to help reduce the risk of contrast-induced nephropathy in clients with elevated creatinine levels.
C. Hemodialysis prior to the CT scan is not routinely performed unless the client is already dialysis-dependent.
D. Creatinine clearance via 24-hour urine is not an urgent pre-procedure requirement; the elevated serum creatinine already indicates impaired renal function.

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Correct Answer is B

Explanation

A. Respiratory failure may occur in severe illness, but it is not the most direct or immediate threat in peritonitis.
B. Sepsis is the most critical complication of peritonitis, as the infection can rapidly enter the bloodstream, leading to systemic inflammatory response and organ failure.
C. Heart attack is not a typical or direct complication of peritonitis.
D. Diabetes is a chronic condition and a risk factor but is not an acute complication of peritonitis itself.

A. Increased glomerular filtration rate (GFR) B. Hypomagnesemia C. Hyperkalemia D. Decreased creatinine level

Correct Answer is C

Explanation

A. Increased GFR is not expected; GFR is decreased in the oliguric phase due to impaired kidney function.
B. Hypomagnesemia is not typical; magnesium levels tend to increase because of reduced renal excretion.
C. Hyperkalemia is a common finding during the oliguric phase due to reduced potassium excretion.
D. Decreased creatinine level is not expected; creatinine levels rise due to accumulation of waste products.

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A client scheduled for a CT scan of the abdomen with contrast has a baseline creatinine level of 2.3 mg/dL. In preparing this client for the procedure, the nurse anticipates what orders?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing care to a client who has peritonitis. Which of the following conditions is the highest priority for the nurse to monitor?

Correct Answer is B

Explanation

A nurse is assessing a client in the oliguric phase of acute kidney injury. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

A nurse is providing discharge teaching to a client who will be performing peritoneal dialysis at home. Which of the following statements from the client indicates understanding of this type of dialysis management? (Select All that Apply.)

A nurse is planning care for a client who has acute glomerulonephritis. Which of the following interventions should the nurse include in the plan?

A nurse is caring for four clients on the urology unit. Which of the following clients should the nurse plan to teach about kidney stone prevention?

The nurse cares for a client with a right-arm arteriovenous fistula (AVF) for hemodialysis treatments. Which nursing action is contraindicated?

A nurse is teaching a group of unlicensed assistive personnel about urinary tract infections (UTI) in clients who have vaginas. When describing why clients who have vaginas have higher rates of UTIs than clients who don't have vaginas, which of the following explanations should the nurse use?

A nurse is providing teaching to a client who has nephrotic syndrome. The nurse should recognize that which of the following client statements indicates a need for further teaching?

A nurse is reviewing the BUN and creatinine levels of an older adult client who has chronic kidney disease. The nurse should expect which of the following findings?

A nurse receives their client care assignment. Following the report, they should give priority assessment to the client: