A nurse is caring for four clients on a medical-surgical unit. Which of the following clients is at the highest risk for developing acute kidney injury?

A client who was admitted with pneumonia receiving cefazolin IV

A client who was admitted with dehydration from bacterial meningitis receiving vancomycin IV

A client who was admitted with uncontrolled atrial fibrillation on a diltiazem IV drip

A client who was admitted with an exacerbation of congestive heart failure receiving metoprolol PO

Answer and Explanation

The Correct Answer is B

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Correct Answer is ["A","C","D","E"]

Explanation

A. Diet restrictions: Clients undergoing hemodialysis often have specific dietary restrictions, such as limiting potassium, phosphorus, and sodium intake, as well as managing protein consumption. Educating the client about these restrictions is essential for their health and well-being.

C. Risk for depression: The diagnosis of end-stage kidney disease and the initiation of hemodialysis can lead to emotional challenges, including a risk for depression. It is important for the nurse to address mental health support and coping strategies.

D. Fluid restrictions: Clients on hemodialysis typically have fluid restrictions due to reduced kidney function and the risk of fluid overload. Education on managing fluid intake is critical to avoid complications.

E. Time requirements: Hemodialysis requires a significant time commitment, typically involving sessions lasting about 3 to 5 hours, three times a week. Discussing the time requirements helps the client plan for their treatment schedule and its impact on daily life.

Incorrect:

B. Home recording of the volume removed at each exchange: This option pertains more to peritoneal dialysis than to hemodialysis. In hemodialysis, the focus is on monitoring vital signs and laboratory values during treatment rather than recording volumes removed.

A. Places clean linen that touched the floor in the soiled linen bag B. Shakes the soiled linen to remove any toilet paper remnants C. Places the soiled linen on the floor before bagging it D. Holds the soiled linen against her body while carrying it to the linen bag

Correct Answer is A

No explanation

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A nurse is caring for four clients on a medical-surgical unit. Which of the following clients is at the highest risk for developing acute kidney injury?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse on the dialysis unit is caring for a client who has end-stage kidney disease and is getting ready for their first hemodialysis session. Which of the following topics should the nurse include when discussing the impact of hemodialysis treatment on the client's life? (Select all that apply.)

Correct Answer is ["A","C","D","E"]

Explanation

Incorrect:

A nurse in a long-term care facility is observing an assistant personnel (AP) changing the linen for a client who has fecal incontinence. Which of following actions indicates that the AP understands the principles of infection control?

Correct Answer is A

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

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