A patient with acute kidney injury has been instructed to limit potassium intake. The nurse recognizes while reinforcing teaching that the teaching has been effective if the patient chooses which of the following snacks? Select all that apply

cranberry juice

chocolate bar

jello (a gelatin dessert)

an orange

grapefruit juice

Answer and Explanation

Correct Answer : A,C

A.   Cranberry juice is typically low in potassium and would be suitable for a patient instructed to limit potassium intake.
B.   Chocolate is generally high in potassium and would not be a suitable snack for a patient limiting potassium intake.
C.   Jello is typically low in potassium and can be a suitable snack for a patient limiting potassium intake.
D.   Oranges are high in potassium and would not be suitable for a patient instructed to limit potassium intake.
E.   Grapefruit juice is high in potassium and would not be suitable for a patient limiting potassium intake.

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Correct Answer is D

Explanation

A. While draping is essential for maintaining sterility, it's typically done right before the physician performs the biopsy, not as a primary pre-procedure step for the nurse.
B. Monitoring for bleeding is important after the procedure, not necessarily beforehand.
C. Although informing the family can be helpful, the patient's understanding and consent are the top priority. Pain management is crucial for patient comfort and cooperation during the procedure.
D. Administering an analgesic helps reduce the patient's anxiety and discomfort during the bone marrow biopsy, which can be a painful procedure. This improves patient tolerance and allows the physician to perform the procedure more efficiently.

A. Use contact precautions. B. Administer ibuprofen prior to assisting with ADLS C. Measure rectal temperature every 4 hr. D. Administer a stool softener.

Correct Answer is D

Explanation

A. Leukemia itself doesn't necessitate contact precautions unless there are other specific infectious concerns, which are not mentioned in this scenario.
B. Ibuprofen is contraindicated in patients with low platelet counts due to the risk of bleeding. Therefore, administering ibuprofen would exacerbate the risk of bleeding in this patient.
C. Invasive procedures like rectal temperature measurements should be avoided in patients with low platelet counts due to the risk of bleeding. Thus, this intervention increases the risk of harm to the patient.
D. Patients with low platelet counts are at risk for bleeding, including gastrointestinal bleeding. Administering a stool softener can help prevent straining during bowel movements, reducing the risk of bleeding and promoting patient comfort and safety.

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A patient with acute kidney injury has been instructed to limit potassium intake. The nurse recognizes while reinforcing teaching that the teaching has been effective if the patient chooses which of the following snacks? Select all that apply

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Naxlex Comprehensive Predictor Exams

The nurse is preparing to assist the physician with a bone marrow biopsy. Which intervention is most important for the nurse to carry out before the procedure?

Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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