A nurse is caring for a group of clients on a medical unit. Which of the following clients is the most at risk for an acute kidney injury? (Select all that apply.)

A client who is taking gentamicin for infection

A client who has heart failure

A client who is 1 day postoperative following a colon resection

A client who has pneumonia

Answer and Explanation

Correct Answer : A,B,C,E

A. Gentamicin is known to be nephrotoxic and can potentially cause kidney damage, especially if not properly monitored for dosage and duration of use. Therefore, this client is at increased risk for AKI due to the medication.

B. Heart failure, particularly when it is acute or decompensated, can reduce renal perfusion, leading to prerenal acute kidney injury. In heart failure, the reduced cardiac output leads to decreased blood flow to the kidneys, which can impair kidney function and result in AKI.

C. Postoperative clients may have hypovolemia, hypotension, or sepsis, all of which are common triggers of AKI. Surgery-related stress and anesthesia may also decrease renal perfusion.

D. Pneumonia itself does not directly cause acute kidney injury. In the absence of complications like sepsis or dehydration, pneumonia alone is not a significant direct risk for AKI.

E. Systemic lupus erythematosus (SLE) can cause lupus nephritis, an intrarenal cause of AKI. An exacerbation increases this risk due to inflammation or immune complex deposition in the kidneys.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

A.While broth can provide fluids and some electrolytes, it is often high in sodium and may not be balanced for a child with diarrhea. High sodium content can exacerbate dehydration and does not adequately replace the lost potassium.

B.Apple juice contains high levels of sugar and may worsen diarrhea by drawing water into the intestines. Additionally, the fructose in apple juice can be difficult to absorb and may lead to increased gastrointestinal discomfort.

C.Cherry gelatin provides fluids but contains sugar and artificial coloring, which are not ideal for rehydration. It does not have the necessary electrolytes that are lost during diarrhea.

D.Pedialyte is specifically formulated to replace fluids and electrolytes lost during episodes of diarrhea and vomiting. It helps prevent dehydration by providing an appropriate balance of electrolytes and fluids that are easily absorbed by the body.

A. Calcium plaque formation in the renal tubules with continued growth with entry into the renal pelvis B. Ascending bacteria from the bladder up the ureters to the kidneys and parenchymal inflammation C. Bacterial invasion of the bladder mucosal wall and an inflammatory reaction D. An inflammatory response and a decreased glomerular filtration rate in the kidneys

Correct Answer is D

No explanation

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is caring for a group of clients on a medical unit. Which of the following clients is the most at risk for an acute kidney injury? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a child who has acute diarrhea and reports that he is thirsty. Which of the following fluids should the nurse give the child?

Correct Answer is D

Explanation

A nurse is caring for a client admitted with acute glomerulonephritis. The client wants to know how this condition occurs. Which of the following best describes the pathological process of acute glomerulonephritis?

Correct Answer is D

A nurse is assisting with teaching a client who is on a soft diet. Which of the following foods should the nurse include in the teaching

A nurse is caring for a client who receives intermittent enteral feedings through an NG tube. Before administering a feeding, the nurse should measure the gastric residual for which of the following purposes?

A nurse is caring for a client with a new diagnosis of acute kidney injury. The client states, "This is going to mess my life up." Which of the following is the best response by the nurse to assist the client to begin to understand the impact of this disease?

A nurse is contributing to the plan of care for a client who is postoperative following peritoneal lavage for peritonitis. The client has a nasogastric tube to low-intermittent suction and closed-suction drains in place. Which of the following interventions should the nurse include in the plan?

A nurse is caring for a client in a long-term care facility who is receiving enteral feedings via an NG Tube Which of the following actions should the nurse complete prior to administering the tube feeding? (Select all that apply)

A nurse is caring for a client who has acute kidney injury (AKI). The nurse should expect which of the following findings in the client's medical record? (Select all that apply.)

The nurse is caring for a client who has a bowel obstruction and a new prescription for the insertion of a nasogastric tube. Which of the following interventions should the nurse take when inserting the nasogastric tube?

A nurse is collecting data on a client who has had diarrhea for several days. Which of the following findings should the nurse expect?