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. Facial flushing is not typically associated with end-stage kidney disease and waiting for transport to dialysis. It may be indicative of other conditions such as fever, allergic reactions, or hormonal changes.
B. Hypotension is not a common finding in patients with end-stage kidney disease.
These patients often experience hypertension due to fluid overload and electrolyte imbalances.
C. Diaphoresis, or excessive sweating, is not typically associated with end-stage kidney disease and waiting for transport to dialysis. It may occur in response to other factors such as fever, pain, or anxiety.
D. Peripheral edema, or swelling in the extremities, is a common finding in patients with end-stage kidney disease due to fluid retention and impaired fluid balance regulation.
Correct Answer is A
Explanation
A. Using a systematic method for analyzing ECG tracings helps ensure that abnormalities are not overlooked, promoting accurate interpretation and diagnosis. This approach reduces the risk of diagnostic errors and ensures thorough assessment of cardiac rhythm and conduction abnormalities.
B. While using a systematic method may aid memory, its primary purpose is to ensure thoroughness and accuracy in ECG interpretation, rather than solely enhancing memory retention.
C. Indeed, using a systematic method establishes a routine for analyzing ECG tracings, aiding in consistent and comprehensive assessment, which is crucial for detecting subtle changes and abnormalities.
D. While using a systematic method may ultimately save time by preventing errors and ensuring efficiency, its primary purpose is accuracy rather than speed. The focus is on comprehensive analysis rather than expediency.
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