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The night nurse on a medical floor has just received report on several patients. On which of the following clients should the nurse make rounds FIRST?

The 78-year-old male with a diagnosis of chronic kidney disease who has developed a new nonproductive cough and is short of breath

The 37-year-old female diagnosed with cellulitis of the left leg yesterday who is experiences warmth in the affected left leg

The 70-year-old male who underwent a transurethral resection of the prostate (TURP) yesterday and is having a burning sensation during urination

The 52-year-old female with pancreatitis who is experiencing abdominal pain rated 7 on a 1-10 scale

Answer and Explanation

The Correct Answer is A

A. The 78-year-old male with chronic kidney disease who develops a new nonproductive cough and shortness of breath is concerning for pulmonary edema or fluid overload, which can rapidly progress and require immediate attention.

B. The 37-year-old female with cellulitis is experiencing warmth in the affected leg, which is expected with cellulitis and may indicate the need for monitoring but is not as urgent as the other options.

C. The 70-year-old male who underwent a TURP is having a burning sensation during urination, which is a common postoperative finding and is not as concerning unless other complications arise.

D. The 52-year-old female with pancreatitis and abdominal pain rated 7 is in pain but is stable, and this pain can typically be managed with pain medication and monitoring, so she is not the most urgent.

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

Explanation

A. Prednisone can suppress the immune system, making the client more susceptible to infections, so avoiding large crowds is advisable.

B. Taking prednisone with food can help reduce gastrointestinal irritation.

C. Increased calcium intake is recommended to prevent bone loss, a common side effect of long-term corticosteroid use.

D. Decreasing calcium intake is not appropriate with prednisone use.

E. Prednisone should be taken as prescribed, typically after meals, not before.

F. Increasing potassium-rich foods like bananas and tomatoes is not advisable for a kidney transplant patient.

A. Hyponatremia and hyperkalemia B. hyperkalemia and hypophosphatemia C. hypokalemia and hyponatremia D. hypernatremia and hypokalemia

Correct Answer is A

Explanation

A. Hyponatremia and hyperkalemia: In the oliguric phase, the kidneys retain potassium due to decreased excretion, leading to hyperkalemia. Hyponatremia occurs due to fluid retention and dilutional effects.

B. Hyperkalemia and hypophosphatemia: Hyperkalemia is expected, but hypophosphatemia is not typical; phosphate tends to accumulate due to reduced renal clearance.

C. Hypokalemia and hyponatremia: Hypokalemia is not expected; the kidneys fail to excrete potassium, causing hyperkalemia.

D. Hypernatremia and hypokalemia: Neither hypernatremia nor hypokalemia is consistent with the oliguric phase.

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The night nurse on a medical floor has just received report on several patients. On which of the following clients should the nurse make rounds FIRST?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is being discharged home post kidney transplant and has been ordered oral prednisone to take at home. Which of the following statements should the nurse include in the teaching plan about this medication? Select all the Apply

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

Explanation

The nurse is caring for a client who is in the Oliguric phase of an Acute kidney injury. Which of the following electrolyte imbalances would be consistent with the condition?

Correct Answer is A

Explanation

A nurse is assessing a client in the diuresis phase of acute kidney injury. Which of the following findings should the nurse expect?

A nurse is caring for a client who is 5 hours postoperative following a transurethral resection of the prostate (TURP). The nurse notes that the client's indwelling urinary catheter has not drained in the past 2 hours. Which actions should the nurse take FIRST?

A nurse is teaching a client diagnosed with Benign prostatic hyperplasia (BPH) about his new prescription Flomax. Which side effects should the nurse include in the teaching?

A client is to receive Doxycycline 200 milligrams orally twice a day for seven days. On hand are 50-milligram capsules. How many capsules would the patient receive for the 8:00 AM dose?

The nurse is conducting patient teaching for the client post kidney transplant. Which statement made by the client indicates the need for further teaching?

A client is being discharged home on oral Steroids post kidney transplant. Which of the following side effects is of most concern?

A client in acute renal failure has been admitted into the Med Surgical ICU due to hypovolemic shock. The client's family asks the nurse why the client has developed acute renal failure. The nurse's best response is?

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