During the diuretic phase of ATN, the nurse should closely monitor the patient for which of the following complications?

Hypervolemia

Hyperkalemia

Hypernatremia

Hypertension

Answer and Explanation

The Correct Answer is C

A. Hypervolemia: This is unlikely during the diuretic phase, as the patient is typically losing large volumes of fluid.

B. Hyperkalemia: Hyperkalemia is more common in the oliguric phase of ATN, not the diuretic phase, when potassium levels usually decrease due to fluid loss.

C. Hypernatremia: During the diuretic phase of ATN, the kidneys start to recover but may not be able to concentrate urine effectively, leading to large volumes of dilute urine. This can result in fluid and electrolyte imbalances, particularly hypernatremia (high sodium levels) due to excessive fluid loss.

D. Hypertension: Hypotension is more likely due to excessive fluid loss during the diuretic phase, not hypertension.

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Correct Answer is D

Explanation

A. A history of chronic headaches and migraines: While chronic headaches and migraines can affect overall health, they are not directly related to pyelonephritis.

B. A history of gastrointestinal issues such as irritable bowel syndrome: Gastrointestinal issues like irritable bowel syndrome (IBS) are generally unrelated to kidney function or urinary tract infections.

C. A history of cardiovascular problems such as hypertension: While hypertension can have indirect effects on renal function, it is not a common historical detail specifically associated with pyelonephritis.

D. A history of frequent urinary tract infections: Frequent urinary tract infections (UTIs) are a significant risk factor for developing pyelonephritis, as the infection can ascend from the bladder to the kidneys.

A. The patients have lowered their cholesterol levels from previous laboratory results. B. The patients have improved blood pressure readings to be within expected reference range. C. The patients are choosing healthier food options for their diet plans. D. There is a significant decrease in the patients BMI measurements.

Correct Answer is D

Explanation

A. The patients have lowered their cholesterol levels from previous laboratory results: Lower cholesterol levels are a positive health outcome but could result from factors other than weight loss, such as medication or diet changes. It is a good sign but not the most direct measure of the intervention's success.

B. The patients have improved blood pressure readings to be within expected reference range: Blood pressure improvements are important and can result from weight loss, but other factors like medications could influence this outcome.

C. The patients are choosing healthier food options for their diet plans: While choosing healthier food options is a positive behavior change, it is a process measure rather than an outcome. It does not necessarily indicate the interventions are working as effectively as a decrease in BMI.

D. There is a significant decrease in the patients' BMI measurements. A significant reduction in BMI is the most direct indicator of effective weight-loss interventions. A decrease in BMI reflects a measurable outcome that directly relates to weight loss.

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During the diuretic phase of ATN, the nurse should closely monitor the patient for which of the following complications?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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Explanation

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