Mr. T. W. is admited to your unit with a diagnosis of small bowel obstruction after swallowing a golf ball related to a freak golfing accident. Mr. T. W.'s urine output has been steadily decreasing, and pre-renal failure is suspected. Which of the following conditions would likely cause pre-renal failure?

Nephrotoxicity

Acute tubular necrosis

Hypovolemia

Acute Glomerulonephritis

Answer and Explanation

The Correct Answer is C

Choice A reason: Nephrotoxicity causes intrinsic renal failure due to direct damage to the renal parenchyma, not pre-renal failure.

Choice B reason: Acute tubular necrosis is a type of intrinsic renal failure resulting from damage to the renal tubules, not pre-renal failure.

Choice C reason: Hypovolemia is a common cause of pre-renal failure due to decreased blood ﬂow to the kidneys, leading to reduced urine output.

Choice D reason: Acute Glomerulonephritis is an intrinsic renal condition that aﬀects the glomeruli, not a pre-renal cause.

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Free Nursing Study Resources

Correct Answer is ["A","B","C","E"]

Explanation

Choice A reason : Heart disease prevention is essential in managing pulmonary edema, especially when it is related to a cardiac condition.
Choice B reason : A healthy lifestyle, including diet and exercise, supports overall heart health and can help manage pulmonary edema.
Choice C reason : Smoking cessation is critical as smoking can exacerbate heart conditions and pulmonary edema.
Choice D reason : The goal of weight control is typically to reduce BMI, not increase it to over 35, which is considered obese.
Choice E reason : Glycemic control is important for diabetic patients to manage their condition and reduce the risk of complications, including pulmonary edema.

A. RBC Count of 4,500,000/mL. B. Normal red blood cell (RBC) indices. C. Hemoglobin of 8.2 g/dL (82 g/L). D. Hematocrit (Hct) 38%.

Correct Answer is C

Explanation

Choice A reason: An RBC count of 4,500,000/mL is within the normal range and would not typically cause symptoms of anemia.

Choice B reason: Normal RBC indices do not indicate anemia and would not explain the symptoms.

Choice C reason: A hemoglobin level of 8.2 g/dL is below the normal range and would be consistent with symptoms of anemia such as fatigue and palpitations.

Choice D reason: A hematocrit of 38% is within the normal range for adult males and would not typically be associated with anemia symptoms.

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Naxlex Comprehensive Predictor Exams

Which of the following information should the nurse include when educating a client who has pulmonary edema as a result of a pre-existing cardiac condition? (Select all that apply)

Correct Answer is ["A","B","C","E"]

Explanation

An adult male with chronic anemia is experiencing increased fatigue and occasional palpitations at rest. Which laboratory data would the nurse identify as consistent with these symptoms?

Correct Answer is C

Explanation

A nurse is caring for a client who is unconscious following a cerebral hemorrhage. Which of the following nursing interventions is of the highest priority?

A patient has had surgical reduction of an open fracture of the right radius this morning. Which assessment findings should the nurse report immediately to the health care provider?

A client with severe sepsis related to an untreated rectal/vaginal fistula is admited to the ﬂoor. She has received two doses of Gentamicin. As luck would have it, she is now in acute renal failure. Which type of renal failure did the Gentamicin cause?

Which of the following nursing diagnoses (nursing problem) would be of highest priority for the patient hospitalized for a bone marrow transplant to treat relapse of acute myelocytic leukemia?

A nurse is providing teaching to a client who has a new diagnosis of Crohn's disease. Which of the following statements by the nurse provides the most simplistic and non-medical description of the disorder?

A nurse is caring for a client who had a stroke and has dysphagia. The nurse should monitor the client for which of the following complications?

A nurse is caring for a client who has cirrhosis of the liver and is having difficulty eliminating alcohol consumption because many of their friends drink alcohol socially. Which of the following steps should the nurse include to motivate the client to change?