A nurse in the emergency department is caring for a client who collapsed after playing football on a hot day. After reviewing the admission laboratory findings, the nurse recognizes that these findings are consistent with which of the following conditions?

Renal failure

Low-protein diet

Dehydration

Syndrome of inappropriate antidiuretic hormone (SIADH)

Answer and Explanation

The Correct Answer is C

Choice A reason: Renal failure is typically associated with abnormal creatinine and BUN levels, which are not

indicated in the given lab values.

Choice B reason: A low-protein diet is not directly indicated by the lab values provided and does not typically result in

collapse after exertion.

Choice C reason: Dehydration is consistent with the client's history of collapsing after playing football on a hot day

and is supported by the elevated sodium level.

Choice D reason: SIADH usually presents with low sodium levels due to dilution, which is not the case here.

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Correct Answer is B

Explanation

Choice A reason: While fiber is important in a diet, recommending at least 45 g per day does not specifically address the needs of a patient with diabetic nephropathy.

Choice B reason: Consuming less than 0.8 g/kg of body weight of protein per day is recommended for patients with diabetic nephropathy to reduce the workload on the kidneys.

Choice C reason: Limiting cholesterol intake to 300 mg per day is a general recommendation for heart health but is not specific to diabetic nephropathy dietary management.

Choice D reason: The recommendation to consume less than 45% of total calories from carbohydrates is not specific to diabetic nephropathy, and carbohydrate needs can vary based on individual energy requirements.

A. Maintain the client in a left lateral position during dialysis. B. Monitor vital signs every 2 hours during the procedure. C. Warm the dialysate solution prior to instillation. D. Place the drainage bag above the level of the client's abdomen.

Correct Answer is C

Explanation

Choice A reason: Maintaining the client in a left lateral position is not specifically required for peritoneal dialysis. Positioning may vary based on the individual's comfort and specific medical needs.

Choice B reason: While monitoring vital signs is important during any medical procedure, it is not an intervention that directly ensures proper dialysate exchange in peritoneal dialysis.

Choice C reason: Warming the dialysate solution prior to instillation is a standard practice in peritoneal dialysis. It helps to promote patient comfort and more efficient exchange of wastes and fluids.

Choice D reason: Placing the drainage bag above the level of the client's abdomen would impede gravity drainage, which is necessary for proper dialysate exchange. The drainage bag should be placed below the level of the client's abdomen.

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A nurse in the emergency department is caring for a client who collapsed after playing football on a hot day. After reviewing the admission laboratory findings, the nurse recognizes that these findings are consistent with which of the following conditions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing dietary teaching to a client who has nephropathy secondary to diabetes mellitus and plans to make dietary adjustments. Which of the following instructions should the nurse include?

Correct Answer is B

Explanation

A nurse is developing a plan of care for a client who is to begin receiving peritoneal dialysis. Which of the following interventions should the nurse implement to ensure proper dialysate exchange?

Correct Answer is C

Explanation

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