The nurse is caring for a client with acute kidney injury (AKI). Which assessment finding warrants immediate intervention?

Dyspnea and sinus tachycardia.

Reports of a bad taste in the mouth.

Low, concentrated urine output.

Productive cough and fever.

Answer and Explanation

The Correct Answer is A

Choice A reason:

The correct answer is a) because dyspnea (difficulty breathing) and sinus tachycardia (rapid heart rate) are signs of a potentially serious condition that warrants immediate intervention. These symptoms may indicate fluid overload, heart failure, or another critical issue that requires prompt attention to prevent further complications.

Choice B reason: Reports of a bad taste in the mouth can be an unpleasant side effect but do not warrant immediate intervention.

Choice C reason: Low, concentrated urine output is a concern in clients with acute kidney injury, but it does not require the same level of immediate intervention as dyspnea and sinus tachycardia.

Choice D reason: A productive cough and fever may indicate an infection, but immediate intervention is more critical for respiratory and cardiac symptoms like dyspnea and sinus tachycardia.

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Free Nursing Study Resources

Correct Answer is C

Explanation

Choice A reason: Determining the client's sleeping position is not directly related to assessing for carpal tunnel syndrome.

Choice B reason: Comparing capillary refill is not a specific test for carpal tunnel syndrome.

Choice C reason:

The correct answer is c) because tapping the wrists (Tinel's sign) is a specific test for carpal tunnel syndrome. A positive Tinel's sign indicates tingling or pain in the fingers when the wrist is tapped.

Choice D reason: Applying firm pressure over the ulnar artery does not assess for carpal tunnel syndrome.

A. Raise the head of the bed to 60 to 90 degrees. B. Take the client's temperature using another method. C. Check the blood pressure every five minutes for one hour. D. Ask the client to cough and deep breathe.

Correct Answer is B

Explanation

Choice A reason: Raising the head of the bed is not related to the low temperature.

Choice B reason:

The correct answer is b) because a tympanic temperature of 94.6°F is unexpectedly low and may be due to improper measurement. Rechecking with a different method ensures accuracy.

Choice C reason: Frequent blood pressure monitoring is important but not the first action for a low temperature reading.

Choice D reason: Asking the client to cough and deep breathe is beneficial postoperatively but does not address the low temperature concern.

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The nurse is caring for a client with acute kidney injury (AKI). Which assessment finding warrants immediate intervention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who works at a computer most of the working day comes to the clinic reporting pain in both hands that causes the client to awake during the night. Which action should the nurse implement to assess for carpal tunnel syndrome?

Correct Answer is C

Explanation

Correct Answer is B

Explanation

The nurse has conducted a cancer prevention community education program. In evaluating the participants' understanding of carcinogens, which statement indicates an accurate understanding?

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