A nurse receives their client care assignment. Following the report, they should give priority assessment to the client:
Who has a sodium level of 135 mEq/L and a potassium level of 3.7 mEq/L7 days after a kidney transplant.
Who, following a kidney transplant, has returned from hemodialysis with a sodium level of 110 mEq/L and a potassium level of 2.0 mEq/L.
who is experiencing mild pain from urolithiasis.
With pinkish mucus discharge in the appliance bag 2 days after an ileal conduit.
The Correct Answer is B
A. Sodium 135 mEq/L and potassium 3.7 mEq/L are within normal limits, so this client is stable.
B. Sodium 110 mEq/L (hyponatremia) and potassium 2.0 mEq/L (hypokalemia) are critically abnormal values and can lead to serious complications such as seizures, cardiac arrhythmias, and muscle weakness. This client requires immediate assessment and intervention.
C. Mild pain from urolithiasis is concerning but not as urgent as electrolyte imbalances.
D. Pinkish mucus discharge in an ileal conduit is expected and generally not urgent unless accompanied by other signs of infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Confusion is a common and often early sign of a UTI in older adults due to age-related changes in immune response and central nervous system sensitivity.
B. Urinary retention can occur with other urologic issues but is not specific to UTIs in older adults.
C. Incontinence may be present but is often a chronic condition and not as specific a sign of a UTI.
D. Low back pain is more typical in cases of pyelonephritis rather than uncomplicated UTIs.
Correct Answer is D
Explanation
A. Acute kidney injury (AKI) does not always progress to end-stage renal disease; many clients recover partially or completely.
B. Transplant is typically a treatment for chronic kidney disease, not AKI, and recovery can occur without it.
C. Permanent dialysis is not always required in AKI; dialysis may be temporary while the kidneys recover.
D. The kidneys can improve over a period of months — this is true for AKI, as kidney function may gradually return over time with appropriate treatment and supportive care.
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