The nurse is caring for a client who is in the oliguric phase of an acute kidney injury. Which of the following clinical manifestations would be consistent with the condition?
Hypotension.
Hyperglycemia.
Weight loss.
Pulmonary edema.
The Correct Answer is D
Choice A reason: Hypotension (low blood pressure) is not a typical manifestation of the oliguric phase of acute kidney injury. In fact, during this phase, patients are more likely to experience hypertension due to fluid overload.
Choice B reason: Hyperglycemia is not directly related to acute kidney injury. While blood sugar levels can be affected by various factors, they are not a specific manifestation of this condition.
Choice C reason: Weight loss is unlikely in the oliguric phase of acute kidney injury. Instead, patients might experience weight gain due to fluid retention.
Choice D reason: Pulmonary edema is a common manifestation in the oliguric phase of acute kidney injury. This phase is characterized by decreased urine output, leading to fluid overload and subsequent complications such as pulmonary edema, where fluid accumulates in the lungs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Lying on the side with the head of the bed at 30 degrees may provide some comfort but is not the most effective position for easing breathing in COPD patients. Sitting upright allows for better lung expansion.
Choice B reason: Sitting on the edge of the bed with the arms supported is known as the tripod position. This position helps patients with COPD breathe more easily by allowing the diaphragm to move more freely and reducing the work of breathing.
Choice C reason: Laying in a supine position with arms crossed is not beneficial for COPD patients. This position can restrict lung expansion and make breathing more difficult.
Choice D reason: Sleeping in a prone position with legs elevated is not recommended for COPD patients. It can further restrict breathing and is uncomfortable for patients with respiratory issues.
Correct Answer is B
Explanation
Choice A reason: Verifying the conductive gel pads is important but should be done before the command "CLEAR!" is given.
Choice B reason: Stepping away from the bed and ensuring others have done the same is crucial for safety. It prevents accidental electrical shock to anyone touching the patient or bed during defibrillation.
Choice C reason: Shutting off the intravenous infusion is not necessary during defibrillation. It does not pose a safety risk in this context.
Choice D reason: Shutting off the mechanical ventilator is not necessary during defibrillation and could compromise the patient's ventilation status.
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