During the diuretic phase of ATN, the nurse should closely monitor the patient for which of the following complications?
Hypervolemia
Hyperkalemia
Hypernatremia
Hypertension
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Provide emotional support: While emotional support is important, addressing physical health issues like fluid and electrolyte balance takes priority during an acute exacerbation.
B. Review stress factors that can cause disease exacerbation: This is important for long-term management but is not the immediate priority during an acute exacerbation.
C. Promote physical mobility: Physical mobility may be limited due to pain or weakness, but it is not the primary concern during an exacerbation.
D. Evaluate fluid and electrolyte levels. Fluid and electrolyte imbalances are common during an exacerbation of ulcerative colitis due to diarrhea and bleeding, making it the top priority to assess and manage to prevent complications such as dehydration or hypovolemia.
Correct Answer is A
Explanation
A. Instruct the patient to change positions slowly to prevent dizziness and falls. Ascites can cause a shift in fluid balance, leading to orthostatic hypotension. Changing positions slowly reduces the risk of dizziness and falls, which are common in patients with fluid shifts.
B. Advise the patient to avoid all physical activity to prevent exacerbation of symptoms: Complete avoidance of physical activity is not recommended. Mild activity may help with overall health and mobility unless contraindicated. Bedrest is typically only recommended for acute or severe cases.
C. Encourage the patient to drink plenty of fluids to prevent dehydration: Patients with ascites are often on fluid restrictions to manage excess fluid accumulation. Encouraging excess fluid intake can worsen the condition.
D. Recommend wearing tight clothing to support the abdominal area: Tight clothing could cause discomfort and increase abdominal pressure, which could exacerbate symptoms or complications related to ascites.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.