A nurse is caring for a client who has severe right wrist pain.

Exhibits

The nurse has completed the assessment of the client.

Drag words from the choices below to fill in each blank in the following sentence.

The client is at risk for developing
dropdown
and
dropdown
.

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"E"}

Respiratory acidosis- Due to opioid-induced respiratory depression (hypoventilation, CO₂ retention). Phlebitis- Due to IV therapy (15g IV and 0.9% NS at 150mL/hr), increasing the risk of vein irritation and inflammation.

Incorrect answers:

Metabolic alkalosis: typically occurs due to vomiting or excessive bicarbonate intake.
Hypervolemia: The client is receiving IV fluids, but there is no evidence of fluid overload.
Osteomyelitis: Infection of the bone; not a direct risk in this scenario.

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Correct Answer is B

Explanation

A. Provide water for a client diagnosed with chronic kidney disease: Fluid intake must be controlled in CKD. A nurse should determine if water intake is appropriate.

B. Instruct the client on appropriate fluid restrictions: Client education is a nursing responsibility and cannot be delegated to a UAP. The nurse should educate clients on fluid restrictions in conditions like chronic kidney disease (CKD) to prevent fluid overload and electrolyte imbalances.

C. Measure the client’s output from the indwelling catheter: This task can be delegated to a UAP.

D. Record the client’s intake and output in the EMR: UAPs can record I&O but cannot interpret the data.

A. Administer scheduled medications B. Explain that dialysis occurs via the peritoneum C. Weigh the client to determine a baseline for comparison D. Obtain a serum creatinine to determine kidney function

Correct Answer is C

Explanation

A. Administer scheduled medications: Some medications (e.g., antihypertensives, water-soluble vitamins, and antibiotics) should be held before dialysis to prevent removal during treatment.

B. Explain that dialysis occurs via the peritoneum: This describes peritoneal dialysis, not hemodialysis.

C. Weigh the client to determine a baseline for comparison: Pre-dialysis weight is crucial to determine fluid removal needs during dialysis. Weight differences before and after dialysis indicate fluid loss or retention.

D. Obtain a serum creatinine to determine kidney function: Serum creatinine levels are monitored regularly but are not a required step before every dialysis session.

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A nurse is caring for a client who has severe right wrist pain. Exhibits The nurse has completed the assessment of the client. Drag words from the choices below to fill in each blank in the following sentence. The client is at risk for developing dropdown and dropdown.

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Naxlex Comprehensive Predictor Exams

The nurse and an unlicensed assistive personnel (UAP) are caring for a group of clients. Which intervention should the nurse perform?

Correct Answer is B

Explanation

A client is to have hemodialysis. What must the nurse do before this treatment?

Correct Answer is C

Explanation

What type of electrolyte imbalance would most likely occur following the administration of three tap water enemas?

The nurse is reviewing the electrolyte results of a client and notes that the potassium level is 5.7. Which pattern on the cardiac monitor would the nurse expect to see?

A nurse is teaching a client at high risk for osteoporosis about dietary measures she can take to increase her calcium level. Which of the following foods should the nurse advise the client to increase in her diet?

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?

The nurse is preparing the discharge teaching plan for a client with a kidney transplant. Which statement indicates the teaching is effective?

The nurse is looking at a set of ABG's and notices a bicarbonate level of 30. What other change would the nurse expect to see in their lab values?

A nurse is caring for a client who has metabolic alkalosis. Which of the following actions should the nurse take?

The nurse is looking at a set of ABG's and notices a bicarbonate level of 30. What other change would the nurse expect to see in their lab values?

A nurse is caring for a client who has severe right wrist pain.

Exhibits

The nurse has completed the assessment of the client.

Drag words from the choices below to fill in each blank in the following sentence.

The client is at risk for developing
dropdown
and
dropdown
.