The client has been admitted to the hospital with a diagnosis of acute kidney injury (AKI).
Which of the following is a priority nursing intervention?
Administer pain medication.
Monitor urine output.
Encourage ambulation.
Assist with meals.
The Correct Answer is B
This is a priority nursing intervention for a client with acute kidney injury (AKI) because it helps to assess the renal function and fluid status of the client. Urine output is also an indicator of the response to treatment and the need for further interventions.
Choice A is wrong because pain medication is not a priority intervention for AKI unless the client has other conditions that cause pain.
Pain medication may also have adverse effects on the kidney function and should be used with caution.
Choice C is wrong because ambulation is not a priority intervention for AKI and may not be appropriate for a client who is fluid overloaded or hypotensive.
Ambulation may also increase the risk of falls and injury in a client who is confused or fatigued.
Choice D is wrong because assisting with meals is not a priority intervention for AKI and may not be necessary for a client who has adequate oral intake.
A client with AKI may also have dietary restrictions such as low protein, low potassium, low sodium, and low phosphorus, which should be considered when providing meals.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Dysuria, which means pain or a burning sensation when peeing, is a common symptom of urinary tract infection (UTI).
UTIs are caused by bacteria entering the urinary tract through the urethra and spreading to the bladder or kidneys.
Choice A is wrong because nausea is not a specific symptom of UTI, although it may occur if the infection spreads to the kidneys.
Choice B is wrong because diarrhea is not a symptom of UTI, but rather a condition that affects the digestive system.
Choice D is wrong because constipation is also not a symptom of UTI, but a problem with bowel movements.
Normal ranges for urine tests vary depending on the type of test and the laboratory that performs it.
However, some general ranges are:
Specific gravity: 1.005 to 1.030
pH: 4.6 to 8.0
Protein: less than 150 mg/dL Glucose: less than 130 mg/dL Ketones: none
Blood: none Nitrites: none
Leukocyte esterase: none Bacteria: none or few
White blood cells: less than 5 per high-power field Red blood cells: less than 3 per high-power field Epithelial cells: few
Correct Answer is C
Explanation
According to Healthline1 and Mayo Clinic, the normal blood sodium level is between 135 and 145 milliequivalents per liter (mEq/L).
Choice A is wrong because it is the normal range for potassium, not sodium.
Choice B is wrong because it is the normal range for calcium, not sodium.
Choice D is wrong because it is the normal range for chloride, not sodium
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