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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. Assess fingers on the left arm for warmth B. Wear wristwatch on the right arm C. Avoid sleeping on the left arm D. Remind the health care providers to draw blood from veins on the left side E. Obtain blood pressure from the left arm

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

Explanation

A. Monitoring for warmth in the fingers of the left arm is important to assess for proper circulation through the arteriovenous fistula.

B. Wearing a wristwatch on the right arm prevents putting pressure on the left arm, where the fistula is located, which could affect its function.

C. Avoiding sleeping on the left arm helps prevent pressure on the fistula and reduces the risk of complications.

D. Blood should not be drawn from the left arm with the fistula as it could damage the fistula.

E. Blood pressure should not be taken from the left arm to avoid disrupting the fistula's function.

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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

A client with chronic renal failure has an internal arteriovenous fistula in the left arm for vascular access during hemodialysis. Which of the following is most important to include in the patient teaching? Select all that 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?

A nurse is teaching a client who has chronic kidney disease about limiting foods that are high in potassium. Which foods should the nurse instruct the client to avoid? (Select all that apply)

A client with an Acute Kidney Injury has been admitted into the medical ICU in the Oliguric phase. Which of the following clinical manifestations should the nurse assess for?

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?

A client has been admitted into the Dialysis unit to rule out a peritoneal infection. Which of the following clinical findings should the nurse be MOST concerned with when caring for this client?

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A client has been admitted to the hospital diagnosed with primary acute glomerulonephritis. On assessment, the nurse should FIRST ask the client about a recent history of?

A nurse is caring for a client who has been diagnosed with polycystic kidney disease (PKD). Which of the following clinical findings should the nurse expect?