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 C

Explanation

A. Elevate the head of the bed to 90 degrees: While elevating the head of the bed may help ease breathing, it does not address the potential issue of NG tube misplacement.

B. Administer a bronchodilator as prescribed: This would only be appropriate if the patient’s respiratory distress were related to bronchospasm or asthma, not NG tube displacement.

C. Check the placement of the NG tube to ensure it has not dislodged into the lungs. When a patient with an NG tube experiences respiratory distress, the tube may have dislodged and entered the respiratory tract, which could obstruct breathing. Verifying the placement of the NG tube is critical to preventing aspiration or further complications.

D. Increase the flow rate of the patient’s oxygen therapy: This may provide temporary relief but does not resolve the underlying cause of the distress if the NG tube has entered the respiratory tract.

A. I should eat only plant-based proteins to manage my symptoms. B. I should avoid all sources of protein to prevent flare-ups. C. I should follow a low-protein diet to reduce intestinal inflammation. D. I should include high-protein foods like chicken and fish in my diet.

Correct Answer is D

Explanation

A. I should eat only plant-based proteins to manage my symptoms: While plant-based proteins may be a part of the diet, limiting protein intake solely to plant-based sources is not necessary, and animal proteins like chicken and fish are recommended for tissue repair.

B. I should avoid all sources of protein to prevent flare-ups: Protein is necessary for healing and should not be completely avoided.

C. I should follow a low-protein diet to reduce intestinal inflammation: There is no evidence that a low-protein diet helps reduce inflammation in Crohn's disease. High-protein intake is beneficial.

D. I should include high-protein foods like chicken and fish in my diet. During active inflammation in Crohn's disease, a high-protein diet is important for healing and maintaining muscle mass, especially since malabsorption can be a concern.

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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

A patient with a nasogastric (NG) tube in place is experiencing respiratory distress. What is the most appropriate initial nursing intervention?

Correct Answer is C

Explanation

A patient with Crohn's disease is being discharged from the hospital. The nurse is providing dietary teaching to the patient. Which of the following statements by the patient indicates a correct understanding of the dietary recommendations?

Correct Answer is D

Explanation

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