A patient has had surgical reduction of an open fracture of the right radius this morning. Which assessment findings should the nurse report immediately to the health care provider?

Right arm muscle spasms

Temperature of 99.9°F (37.7°C)

Loss of the right radial pulse

Pain with right arm movement

Answer and Explanation

The Correct Answer is C

Choice A reason: Right arm muscle spasms may be uncomfortable but are not as critical as circulatory issues.

Choice B reason: A temperature of 99.9°F (37.7°C) is slightly elevated but not immediately alarming post-surgery.

Choice C reason: Loss of the right radial pulse could indicate a serious complication such as compartment syndrome, which requires urgent atention.

Choice D reason: Pain with arm movement is expected post-surgery but is not as urgent as loss of pulse.

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Correct Answer is A

Explanation

Choice A reason: Hyperkalemia is a common electrolyte imbalance in prerenal AKI due to decreased kidney function and the inability to excrete potassium.

Choice B reason: Hypernatremia is not typically expected in prerenal AKI unless there is an associated condition causing increased sodium retention.

Choice C reason: Hypercalcemia is not commonly associated with prerenal AKI.

Choice D reason: Hypophosphatemia is less likely in prerenal AKI; hyperphosphatemia is more common due to decreased filtration of phosphate.

A. Pre-Renal B. Super-secret double renal failure C. Post-Renal D. Intra-Renal

Correct Answer is D

Explanation

Choice A reason: Pre-Renal failure is caused by factors external to the kidneys, typically involving reduced blood ﬂow or hydration aﬀecting kidney function. Gentamicin does not typically cause this type of failure.
Choice B reason : 'Super-secret double renal failure' is not a medically recognized type of renal failure.
Choice C reason : Post-Renal failure is due to obstruction of urine ﬂow from the kidneys, which is not typically associated with Gentamicin use.
Choice D reason : Intra-Renal failure, also known as intrinsic renal failure, is caused by direct damage to the kidneys themselves. Gentamicin can cause acute kidney injury due to its nephrotoxic eﬀects, leading to Intra-Renal failure.

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A patient has had surgical reduction of an open fracture of the right radius this morning. Which assessment findings should the nurse report immediately to the health care provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the laboratory test results from a client who has prerenal acute kidney injury (AKI). Which of the following electrolyte imbalances should the nurse expect?

Correct Answer is A

Explanation

A client with severe sepsis related to an untreated rectal/vaginal fistula is admited to the ﬂoor. She has received two doses of Gentamicin. As luck would have it, she is now in acute renal failure. Which type of renal failure did the Gentamicin cause?

Correct Answer is D

Explanation

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