An 85-year-old patient who has fallen at home and was unable to get up is admitted to your nursing unit. The patient said she fell 36 hours ago and has been unable to eat or drink. You observe that the patient has voided scant amounts since admission. In planning care for this patient, what condition do you consider related to the diminished renal output?
Renal calculi
Hypovolemia
inactivity
Nephrotoxic drugs
The Correct Answer is B
A. While renal calculi (kidney stones) can cause renal issues, they are not directly related to diminished renal output in this scenario. Hypovolemia, or low blood volume, is more pertinent to the patient's presentation of scant voiding and inability to eat or drink.
B. Diminished renal output, as evidenced by scant voiding, can be indicative of hypovolemia. Hypovolemia reduces kidney perfusion, leading to decreased urine output as the kidneys conserve fluid.
C. While inactivity can contribute to various health issues, it's not directly related to diminished renal output in this case. The primary concern is addressing the immediate physiological impact of decreased renal function.
D. While nephrotoxic drugs can impair renal function, there's no indication in the scenario that the patient has been exposed to such drugs. Thus, they are not directly relevant to the current situation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Heat application may provide comfort for localized pain but does not address the underlying cause of hypercalcemia, which requires systemic management.
B. While rest may be beneficial for certain conditions, it does not directly address hypercalcemia. Encouraging mobility and adequate fluid intake is typically more effective.
C. Coughing and deep breathing exercises are important for preventing respiratory complications after surgery but are not relevant for managing hypercalcemia.
D. Increasing fluid intake promotes hydration and enhances urinary calcium excretion, helping to lower serum calcium levels and minimize complications associated with hypercalcemia
Correct Answer is C
Explanation
A. These values are within the normal range and not indicative of chronic kidney disease.
B. While an elevated BUN is present, the serum creatinine level is within the normal range, which is not consistent with chronic kidney disease.
C. Both BUN and serum creatinine levels are elevated, indicating impaired kidney function and consistent with chronic kidney disease.
D. These values are within the normal range and not indicative of chronic kidney disease.
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