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 C

Explanation

A. A family history of syncope is not a risk factor for acute glomerulonephritis.
B. Sexual activity is not a common contributing factor to glomerulonephritis.
C. Acute glomerulonephritis often develops 1–2 weeks after a streptococcal infection such as strep throat or impetigo. Asking about recent illness helps determine if a prior infection contributed to the condition.
D. Low blood pressure is not typically associated with glomerulonephritis; in fact, hypertension is more common due to fluid retention.

A. Anticipatory B. Situational C. Coping D. Hope

Correct Answer is A

Explanation

A. Anticipatory grieving occurs when family members begin to experience grief before the actual loss, often in response to a terminal illness.
B. Situational refers to a sudden, unexpected loss or crisis, not the expected progression of a chronic illness.
C. Coping describes strategies used to deal with stress but is not a type of grief.
D. Hope is a positive outlook that may exist alongside grief but is not a form of grieving.

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Creatinine 1.8 mg/dL	Ref: 0.6-1.3 mg/dL
White blood cell (WBC) 16,000 mm3	Ref: 5,000-10,000 mm3
Platelet count 120,000	Ref: 140,000-400,000
C-Reactive Protein 5 mg/dL	Ref: <1 mg/dL

Heart Rate	115 beats per minute
Blood pressure	100/70 mmHg
Temperature	98.7 F (37.0 C)
Oxygen saturation	90% on room air

Blood Pressure	118/78 mmHg
Heart Rate	112 beats/minute
Respiratory Rate	22 breaths/minute
Temperature	102.8 F (39.3 C)
WBC	16000 (Ret: 4000-11000)
BUN	24 mg/dL (Ref: 8-20 mg/dL)
Creatinine	1.1 mg/dL (Ref: 0.6-1.2 mg/dL)

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

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Naxlex Comprehensive Predictor Exams

What is the most appropriate question for the nurse to ask to help determine a potential contributing factor when assessing a client recently diagnosed with acute glomerulonephritis?

Correct Answer is C

Explanation

The nurse is caring for a client who has end-stage renal disease. The client's child is present and tells the nurse about fears that the disease will soon progress to death. What type of grieving does the nurse identify in the client's child's response?

Correct Answer is A

Explanation

The nurse is educating a client's spouse about anticipatory grief. Which statement made by the spouse indicates understanding?

The nurse is caring for a client with diverticulitis. Vitals are as follows. What laboratory value is the priority to report to the healthcare provider? Heart Rate 115 beats per minute Blood pressure 100/70 mmHg Temperature 98.7 F (37.0 C) Oxygen saturation 90% on room air

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