A nurse is reinforcing teaching about monitoring weight with a client who has chronic kidney disease. Which of the following instructions should the nurse include in the teaching?
Use several different scales to obtain the weight.
Weigh at the same time each day.
Calibrate weight scales every week.
Measure weight just prior to voiding.
The Correct Answer is B
Choice A rationale
Using several different scales to obtain the weight is incorrect. Consistency is key when monitoring weight, especially for clients with chronic kidney disease. Using the same scale ensures that weight measurements are accurate and comparable over time. Different scales may have slight variations, leading to inconsistent and unreliable data.
Choice B rationale
Weighing at the same time each day is correct. It is important to weigh at the same time each day, preferably in the morning after voiding and before eating, to obtain consistent and accurate measurements. This helps in monitoring fluid retention and changes in body weight, which are critical for managing chronic kidney disease.
Choice C rationale
Calibrating weight scales every week is not necessary. While it is important to ensure that the scale is accurate, weekly calibration is excessive. Regular calibration according to the manufacturer’s instructions or as needed is sufficient to maintain accuracy. Over-calibration can be time-consuming and may not significantly improve measurement accuracy.
Choice D rationale
Measuring weight just prior to voiding is incorrect. Weighing after voiding provides a more accurate measurement of body weight without the influence of bladder contents. This is especially important for clients with chronic kidney disease, as fluid balance and retention are closely monitored.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Regular insulin should be clear. If it appears cloudy, it may be contaminated or expired, and should be discarded. This is a correct instruction for self-administering regular insulin and NPH insulin from the same syringe.
Choice B rationale
When mixing insulins, regular insulin should be drawn up first, followed by NPH insulin. Drawing up NPH insulin first can lead to contamination of the regular insulin with the cloudy NPH insulin.
Choice C rationale
NPH insulin should be gently rolled or inverted to mix, not shaken. Shaking can cause bubbles, which can lead to inaccurate dosing.
Choice D rationale
Air should be injected into the NPH insulin vial first, not the regular insulin vial. This helps prevent contamination and ensures accurate dosing.
Correct Answer is B
Explanation
Choice A rationale
Lethargy is not a common side effect of phenazopyridine. This medication is primarily used to relieve urinary tract pain and discomfort.
Choice B rationale
Reddish-orange urine is a common and expected side effect of phenazopyridine. This discoloration is harmless but can stain clothing.
Choice C rationale
Burning during urination is a symptom that phenazopyridine is used to relieve, not a side effect of the medication.
Choice D rationale
Visual disturbances are not commonly associated with phenazopyridine use.
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