A nurse is caring for a client with acute kidney injury (AKI). Which assessment finding warrants immediate intervention?

Reports of a bad taste in the mouth.

Low concentrated urine output.

Dyspnea and sinus tachycardia.

Productive cough and fever.

Answer and Explanation

The Correct Answer is C

Choice A reason: Reports of a bad taste in the mouth can be associated with various conditions, including metabolic imbalances, but it is not typically an immediate concern in the context of AKI.

Choice B reason: Low concentrated urine output (oliguria) is a common finding in AKI and indicates decreased kidney function. While it is an important assessment finding, it does not usually require immediate intervention compared to signs of severe complications.

Choice C reason: Dyspnea (difficulty breathing) and sinus tachycardia (rapid heart rate) can indicate fluid overload or pulmonary edema, which are serious complications of AKI. These symptoms require immediate intervention to prevent respiratory distress and potential cardiac complications.

Choice D reason: A productive cough and fever may suggest an infection, which is important to address but not necessarily an immediate life-threatening issue compared to dyspnea and tachycardia in the context of AKI.

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Correct Answer is B

Explanation

Choice A reason: A cerebrovascular accident (CVA), commonly known as a stroke, occurs when the blood supply to part of the brain is interrupted or reduced, preventing brain tissue from getting oxygen and nutrients. Although a severe headache might be a symptom of a stroke, it does not typically present with fever, nuchal rigidity, and a petechial rash, which are more indicative of an infection or inflammatory process.

Choice B reason: Meningococcal meningitis is a bacterial infection that causes inflammation of the membranes covering the brain and spinal cord. Symptoms often include a severe headache, fever, neck stiffness (nuchal rigidity), and a petechial rash, which is a distinguishing feature. This condition is a medical emergency and requires prompt antibiotic treatment to prevent serious complications or death.

Choice C reason: Intracerebral hemorrhage is bleeding within the brain tissue itself, which can be caused by various factors such as hypertension, aneurysms, or trauma. While it can cause a severe headache and neurological symptoms, it does not typically present with fever, nuchal rigidity, and a petechial rash, which suggest an infectious etiology rather than a hemorrhagic one.

Choice D reason: Rocky Mountain spotted fever is a tick-borne illness caused by the bacterium Rickettsia rickettsii. It can present with fever, headache, and a rash, but the rash is typically more generalized and not petechial. Additionally, the presence of nuchal rigidity and severe headache are more characteristic of meningitis rather than Rocky Mountain spotted fever.

A. Obtain a prostate-specific antigen blood level test. B. Take vitamin supplements. C. Consume a high-protein diet. D. Increase physical activity.

Correct Answer is D

Explanation

Choice A reason: Obtaining a prostate-specific antigen (PSA) blood level test is important for screening and monitoring prostate health but does not directly reduce the risk factors for benign prostatic hyperplasia (BPH). PSA tests can help in early detection of prostate issues, but they are not preventive measures.

Choice B reason: Taking vitamin supplements is not specifically proven to reduce the risk of BPH. While maintaining overall nutritional health is important, there is no direct evidence that vitamin supplements alone can prevent BPH. It's better to focus on a balanced diet and healthy lifestyle choices.

Choice C reason: Consuming a high-protein diet does not specifically reduce the risk of BPH. While protein is an essential nutrient for overall health, there is no clear evidence that it has a direct impact on preventing BPH. A balanced diet that includes a variety of nutrients is more beneficial for general health and well-being.

Choice D reason: Increasing physical activity is one of the recommended lifestyle changes to reduce the risk of BPH. Regular physical activity can improve overall health, help maintain a healthy weight, and potentially reduce the risk of BPH. Physical activity is associated with better prostate health and can help mitigate some of the risk factors associated with BPH, such as obesity and sedentary lifestyle.

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A nurse is caring for a client with acute kidney injury (AKI). Which assessment finding warrants immediate intervention?

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Naxlex Comprehensive Predictor Exams

A client presents with the onset of a severe headache, fever, nuchal rigidity, and a petechial rash on arms and legs. The nurse recognizes the client is exhibiting symptoms of which condition?a) Cerebrovascular accident (CV

Correct Answer is B

Explanation

Correct Answer is D

Explanation

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