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)
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D"]
Explanation
Choice A reason: Asparagus is not typically high in potassium and does not need to be avoided by clients with chronic
kidney disease.
Choice B reason: Raisins are high in potassium and should be avoided by clients with chronic kidney disease to prevent hyperkalemia.
Choice C reason: Bananas are known to be high in potassium and should be limited or avoided in clients with chronic kidney disease.
Choice D reason: Tomatoes and tomato products are high in potassium and should be avoided to maintain safe
potassium levels.
Choice E reason: Green beans are not considered high in potassium and do not typically need to be avoided by clients with chronic kidney disease.
Correct Answer is D
Explanation
Choice A reason: Carvedilol does not typically interact with contrast material to increase the risk of acute kidney injury.
Choice B reason: Atorvastatin does not typically interact with contrast material to increase the risk of acute kidney injury.
Choice C reason: Nitroglycerin does not typically interact with contrast material to increase the risk of acute kidney injury.
Choice D reason: Metformin can interact with contrast material and increase the risk of acute kidney injury, especially
in clients with pre-existing kidney problems.
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