A nurse is educating a patient who has acute kidney injury about the oliguric phase. What information should the nurse include in the teaching?

“The glomerular filtration rate (GFR) recovers.”.

“Urine output is less than 400 mL per 24 hr.”.

“Renal function is reestablished.”.

“BUN and creatinine levels decrease.”.

Answer and Explanation

The Correct Answer is B

Choice A rationale

The glomerular filtration rate (GFR) does not recover during the oliguric phase of acute kidney injury (AKI). Recovery of GFR typically occurs during the recovery phase.

Choice B rationale

During the oliguric phase of AKI, urine output is typically less than 400 mL per 24 hours.

Choice C rationale

Renal function is not reestablished during the oliguric phase of AKI. This typically occurs during the recovery phase.

Choice D rationale

Blood urea nitrogen (BUN) and creatinine levels do not decrease during the oliguric phase of AKI. These levels typically increase due to decreased kidney function.

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Correct Answer is A

Explanation

Choice A rationale

Orlistat works by inhibiting the absorption of dietary fats in the body, which are then excreted in the stool. One of the side effects of this process can be changes in bowel habits, including an increase in the frequency of bowel movements and an oily discharge. Dark urine can be a sign of liver damage, which is a rare but serious side effect of orlistat. Therefore, if a patient notices their urine getting darker in color while taking orlistat, they should stop taking the medication and call their doctor immediately.

Choice B rationale

Orlistat should be taken with a meal that contains fat, not necessarily before breakfast. If a meal is missed or contains no fat, the dose of orlistat should be skipped.

Choice C rationale

Orlistat does not directly affect hunger signals or the feeling of fullness. It works in the digestive system to block about one-third of the fat in the food you eat from being digested.

Choice D rationale

While it’s important to maintain a balanced, reduced-calorie diet while taking orlistat, a no-fat diet is not recommended. Orlistat works by blocking the absorption of some of the fat from meals. If a meal contains no fat, there is no fat for orlistat to block.

A. Pick up the bottle with the label facing the palm. B. Pour the solution onto the gauze. C. Pour 1 to 2 mL into a receptacle. D. Perform hand hygiene. E. Place the bottle cap face-up on a clean surface. F. Remove the bottle cap.

Correct Answer is D,A,F,C,E,B

Explanation

The correct sequence for pouring a sterile solution is: D, A, F, C, E, B

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A nurse is educating a patient who has acute kidney injury about the oliguric phase. What information should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is educating a patient with binge eating disorder and morbid obesity who has been prescribed orlistat. Which of the following statements, if made by the patient, would indicate that they understand the teaching?

Correct Answer is A

Explanation

A nurse is assisting a healthcare provider with a sterile procedure and is preparing to pour solution onto a sterile piece of gauze. In what sequence should the nurse perform the following steps when pouring the sterile solution?

Correct Answer is D,A,F,C,E,B

Explanation

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