A client with acute renal failure (ARF) is admitted for uncontrolled type 1 diabetes mellitus and hyperkalemia. The nurse administers an IV dose of regular insulin per sliding scale. Which intervention is most important for the nurse to include in this client's plan of care?

Maintain venous access with an infusion of normal saline.

Assess glucose via fingerstick every 4 to 6 hours.

Evaluate hourly urine output for return of normal renal function.

Monitor the client's cardiac activity via telemetry.

Answer and Explanation

The Correct Answer is D

A. Maintain venous access with an infusion of normal saline: While maintaining venous access is important, it is not the most critical intervention in managing hyperkalemia and insulin therapy.
B. Assess glucose via fingerstick every 4 to 6 hours: Regular monitoring of blood glucose is important, but the most immediate concern in hyperkalemia management with insulin is the cardiac effects.
C. Evaluate hourly urine output for return of normal renal function: This is important for overall renal function assessment but is less critical during the acute management of hyperkalemia.
D. Monitor the client's cardiac activity via telemetry: Insulin can cause a shift of potassium into cells, which can lead to changes in cardiac function. Therefore, monitoring cardiac activity is crucial to detect any potential arrhythmias due to changes in potassium levels.

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Correct Answer is ["C","E","F"]

Explanation

A. Typically, there is no need to restrict a child to clear liquids for several days post-cardiac catheterization unless specified by the physician.
B. Bathing should be avoided if the catheterization was done through the groin, but showers are usually permitted after 24 hours, provided the water does not directly hit the incision site.
C. Monitoring for fever is important as it can be a sign of infection.
D. A pressure dressing is usually kept on the site for the first few hours post-procedure, not for an entire week.
E. Ibuprofen can be given for pain, but it's important to follow the physician's advice regarding dosage and frequency.
F. It is crucial to alert the physician if the site bleeds or swells as this could indicate a complication from the procedure.

A. Swollen hands. B. Lack of appetite. C. Urinary frequency. D. Chills and fever. E. Headache. F. Blurred vision.

Correct Answer is ["A","E","F"]

Explanation

A. Swollen hands: Swelling, particularly in the hands and face, can be a sign of preeclampsia due to increased blood pressure and fluid retention. It should be reported to the healthcare provider for further evaluation.
B. Lack of appetite: While a lack of appetite may occur in pregnancy, it is not a specific indicator of preeclampsia. This symptom is more general and could be caused by a variety of factors.
C. Urinary frequency: Increased urinary frequency is common in pregnancy due to the growing uterus pressing on the bladder and is not a specific indicator of preeclampsia.
D. Chills and fever: These symptoms are not typical indicators of preeclampsia. They might suggest an infection or other condition, but they are not specifically associated with preeclampsia.
E. Headache: Severe or persistent headaches can be a sign of preeclampsia, as high blood pressure affects the vascular system and may lead to headaches. This should be reported to assess for potential preeclampsia.
F. Blurred vision: Blurred vision is a significant symptom of preeclampsia related to high blood pressure and potential damage to the blood vessels in the eyes. It is a key indicator that should be reported to the healthcare provider.

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A client with acute renal failure (ARF) is admitted for uncontrolled type 1 diabetes mellitus and hyperkalemia. The nurse administers an IV dose of regular insulin per sliding scale. Which intervention is most important for the nurse to include in this client's plan of care?

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Exhibits What should the nurse include in post discharge care education? Select all that apply.

Correct Answer is ["C","E","F"]

Explanation

The nurse is teaching a primigravida about preeclampsia. What finding(s) are indicators of preeclampsia and should be reported to the healthcare provider? Select all that apply.

Correct Answer is ["A","E","F"]

Explanation

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A client with acute renal failure (ARF) is admitted for uncontrolled type 1 diabetes mellitus and hyperkalemia. The nurse administers an IV dose of regular insulin per sliding scale. Which intervention is most important for the nurse to include in this client's plan of care?