A nurse is admitting a client to the emergency department after a gunshot wound to the abdomen.

Which of the following actions should the nurse take to help prevent the onset of acute kidney failure?

Administer IV fluids to the client.

Insert a urinary catheter.

Prepare the client for an intravenous pyelogram.

Initiate beta-blocker therapy.

Answer and Explanation

The Correct Answer is A

Administering IV fluids can help maintain blood flow to the kidneys and prevent acute kidney failure.
Choice B is incorrect because inserting a urinary catheter does not prevent acute kidney failure.
Choice C is incorrect because an intravenous pyelogram is a diagnostic test and does not prevent acute kidney failure.
Choice D is incorrect because beta-blocker therapy is not used to prevent acute kidney failure.

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Correct Answer is D

Explanation

Monitor the client for adequate urine output.
When administering potassium chloride via IV infusion to a client who has severe hypokalemia, it is important for the nurse to monitor the client’s urine output to ensure that their kidneys are functioning properly and that they are able to excrete excess potassium.
Choice A is incorrect because the infusion site should be checked more frequently than every 4 hours.
Choice B is incorrect because the maximum recommended rate of infusion for potassium chloride is 10 mEq/hr.
Choice C is incorrect because Chvostek’s sign is used to assess for hypocalcemia, not hypokalemia.

A. Glasgow Coma Scale score changes from 14 to 9. B. WBC count changes from 9,000 to 16,000/mm. C. Pulse pressure changes from 30 to 20 mm Hg. D. Bilateral pupil diameter changes from 4 to 2 mm.

Correct Answer is A

Explanation

A decrease in the Glasgow Coma Scale (GCS) score indicates a decline in the client’s level of consciousness and neurological function.
This can be a sign of increased intracranial pressure or other complications related to the skull fracture.
Choice B is incorrect because an increase in WBC count may indicate an infection, but it is not as concerning as a decrease in GCS score.
Choice C is incorrect because a change in pulse pressure may indicate changes in cardiovascular function, but it is not as concerning as a decrease in GCS score.
Choice D is incorrect because a change in pupil diameter may indicate changes in neurological function, but it is not as concerning as a decrease in GCS score.

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A nurse is admitting a client to the emergency department after a gunshot wound to the abdomen. Which of the following actions should the nurse take to help prevent the onset of acute kidney failure?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is administering potassium chloride via IV infusion to a client who has severe hypokalemia. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is caring for a client admitted with a skull fracture. Which of the following assessment findings should be of greatest concern to the nurse?

Correct Answer is A

Explanation

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A nurse is admitting a client to the emergency department after a gunshot wound to the abdomen.

Which of the following actions should the nurse take to help prevent the onset of acute kidney failure?