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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Correct Answer is D

Explanation

Choice A reason: Obtaining a prostate-specific antigen blood level test is for screening rather than risk reduction.

Choice B reason: While a balanced diet is important, high protein specifically does not reduce BPH risk.

Choice C reason: There's no strong evidence that vitamin supplements alone reduce BPH risk.

Choice D reason:

The correct answer is d) because increasing physical activity is known to reduce the risk of benign prostatic hyperplasia. Regular exercise helps maintain a healthy weight and improve overall prostate health.

A. Fewer fingerstick glucose checks. B. Increased oral fluid intake. C. Higher doses of insulin. D. Restriction of caloric intake.

Correct Answer is C

Explanation

Choice A reason: Fewer fingerstick glucose checks are not advisable during an infection. In fact, more frequent monitoring may be necessary to manage blood glucose levels effectively.

Choice B reason: Increased oral fluid intake is important to prevent dehydration, but it is not directly related to changes in blood glucose management.

Choice C reason:

The correct answer is c) because a client with diabetes mellitus who is admitted with an upper respiratory infection may require higher doses of insulin. Infections can cause an increase in blood glucose levels due to the body's stress response. The nurse should inform the client that they may need to adjust their insulin dosage to manage their blood glucose levels effectively during the infection.

Choice D reason: Restriction of caloric intake is not an appropriate change in blood glucose management during an infection. Adequate nutrition is essential for recovery, and the focus should be on managing blood glucose levels through medication adjustments.

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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 asks the nurse for information about how to reduce risk factors for benign prostatic hyperplasia (BPH). Which information should the nurse provide?

Correct Answer is D

Explanation

A client with diabetes mellitus is admitted with an upper respiratory infection. Which changes in blood glucose management should the nurse tell the client to expect?

Correct Answer is C

Explanation

A client with metastatic cancer reports a pain level of 10 on a 0 to 10 scale. Twenty minutes after the nurse administers an IV analgesic, the client states, "No pain relief yet." Which intervention is most important for the nurse to include in this client's plan of care?

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?

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Four days following an abdominal aortic aneurysm repair, the client is exhibiting edema of both lower extremities, and pedal pulses are not palpable. Which action should the nurse implement first?

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An adult client newly diagnosed with left ventricular dysfunction is admitted to the hospital with fine rales and wheezing. When assessing this client, which additional finding is the nurse likely to obtain?

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