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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 C

Explanation

A. Hematuria is not a typical finding after peritoneal dialysis, although it can occur in some clients with kidney disease.

B. Weight loss is not expected after dialysis; it is more likely to stabilize fluid balance and remove excess fluid.

C. Hypertension can be expected in clients with chronic kidney disease, as the kidneys play a key role in regulating blood pressure.

D. Increased urine output is not typically seen in clients with chronic kidney disease, especially after dialysis.

A. Asparagus B. Green Beans C. Avocado D. Bananas E. Tomatoes

Correct Answer is ["C","D","E"]

Explanation

A. Asparagus is a moderate source of potassium but is not typically restricted in chronic kidney disease.

B. Green beans are low in potassium and are safe for clients with chronic kidney disease.

C. Avocado is high in potassium and should be limited in a kidney disease diet.

D. Bananas are rich in potassium and should be avoided in chronic kidney disease.

E. Tomatoes are high in potassium and should be limited in the diet of clients with chronic kidney disease.

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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 with a past medical history of chronic kidney disease has just completed their daily peritoneal dialysis. Which of the following clinical findings should the nurse expect to find when assessing the client?

Correct Answer is C

Explanation

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)

Correct Answer is ["C","D","E"]

Explanation

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A nurse working in the Dialysis unit is planning the job responsibilities for the shift. Which interventions can be delegated to the unlicensed assistive personnel (UAP)? Select all that apply

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?

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 planning care for a client who has been diagnosed with Nephrolithiasis. Which of the following is most important to include in the client teaching?

A nurse is evaluating a client who underwent a kidney transplant 2 weeks ago. Which of the following clinical manifestations should the nurse recognize as potential indication of organ rejection?

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?

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?