The nurse is caring for four clients with acute kidney injury. Which client is of highest priority?

The client who has voided 750 mL in the past 24 hours.

The client that has a potassium level of 5.2 mEq/L (Ref 3.5-5.0 mEq/L)

The client that has increased feelings of depression.

The client that is scheduled for hemodialysis later in the day.

Answer and Explanation

The Correct Answer is B

A. A urine output of 750 mL/24 hr is low (oliguria) but not immediately life-threatening compared to electrolyte imbalances.

B. A potassium level of 5.2 mEq/L is slightly above normal and indicates hyperkalemia risk, which can progress rapidly to life-threatening cardiac dysrhythmias. This client is the highest priority for immediate assessment and intervention.

C. Depression is important but not the immediate priority in an acute setting compared to unstable lab values.

D. A scheduled dialysis client may be stable until treatment; the elevated potassium requires faster intervention.

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

Explanation

A. Nocturia (frequent urination at night) is a common symptom of BPH due to incomplete bladder emptying.

B. Urinary dribbling can occur as the enlarged prostate obstructs urine flow.

C. Urinary frequency results from decreased bladder capacity and incomplete emptying caused by the obstruction.

D. Elevated temperature is not a typical sign of BPH; it may indicate infection such as a urinary tract infection, not BPH itself.

E. Weak urinary stream occurs due to obstruction of the urethra by the enlarged prostate.

A. "I should squeeze the lesions to help them heal faster." B. "It is caused by a group of closely related filamentous fungi" C. "I should apply the mupirocin ointment directly to the lesions." D. "I do not need to worry about this being spread to other children."

Correct Answer is C

Explanation

A. Squeezing lesions increases the risk of spreading infection and worsening skin breakdown.

B. Impetigo is a bacterial infection (most commonly Staphylococcus aureus or Streptococcus pyogenes), not a fungal infection.

C. Topical antibiotics like mupirocin are the standard treatment for localized impetigo. This is the proper action.

D. Impetigo is highly contagious, spreading through direct contact or via fomites (towels, clothing). Parents must take precautions to prevent transmission.

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The nurse is caring for four clients with acute kidney injury. Which client is of highest priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing a client in the clinic. Which assessment findings indicate that the client may have benign prostatic hyperplasia (BPH)? (Select all that apply)

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

Explanation

The school nurse is educating a group of parents about impetigo. Which statement indicates understanding by the parents?

Correct Answer is C

Explanation

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