The nurse is caring for several clients with acute kidney injury. Which client is most at risk for developing post renal acute kidney injury?

The client with hypovolemic shock following surgery.

The client taking NSAIDs every 8 hours for arthritis pain.

The client recovering from acute glomerulonephritis

The client diagnosed with benign prostatic hyperplasia

Answer and Explanation

The Correct Answer is D

A. Hypovolemic shock causes decreased renal perfusion and is associated with prerenal acute kidney injury, not post renal.

B. Long-term NSAID use can cause intrarenal acute kidney injury by damaging renal tissue through inhibition of prostaglandin synthesis and decreased renal blood flow.

C. Acute glomerulonephritis results in intrarenal acute kidney injury due to inflammation and damage to the glomeruli.

D. Benign prostatic hyperplasia (BPH) can cause urinary tract obstruction by compressing the urethra, leading to urinary retention and backflow of urine into the kidneys. This obstruction results in post renal acute kidney injury.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

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

Explanation

A. Peripheral neuropathy is associated with chronic hyperglycemia, not hypoglycemia. Decreasing insulin would worsen blood glucose control and neuropathy risk.

B. Loss of protective sensation (pain, temperature, pressure) predisposes the client to unnoticed injuries and subsequent infections.

C. As neuropathy progresses, numbness and impaired sensation increase the risk of foot ulcers going unnoticed until they worsen.

D. Peripheral neuropathy is a leading cause of diabetic foot ulcers; it is not limited to vascular disease alone.

E. Chronic hyperglycemia over years damages nerves, leading to neuropathy and increased ulcer risk.

A. The client should participate in physical activity such as swimming. B. The client should limit carbonated beverages. C. The client should start taking hormonal replacement therapy. D. The client should decrease intake of dairy in the diet.

Correct Answer is A

Explanation

A. While physical activity is important, swimming is not a weight-bearing exercise and therefore does not provide the bone-strengthening benefits necessary to reduce osteoporosis risk. Activities such as walking, jogging, or resistance training are more effective.
B. Carbonated beverages, especially colas, are associated with decreased bone density because they may contain phosphoric acid and can displace calcium-rich beverages like milk in the diet. Limiting these drinks helps reduce osteoporosis risk.
C. Hormone replacement therapy (HRT) is not recommended as a preventive measure for young adults due to potential risks and side effects. It is generally considered only for postmenopausal women when indicated.
D. Dairy products are high in calcium and vitamin D, which are essential for bone health. Decreasing intake would increase the risk of osteoporosis rather than prevent it.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nurse is caring for several clients with acute kidney injury. Which client is most at risk for developing post renal acute kidney injury?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client who has peripheral neuropathy who has developed a foot ulcer. The client's caregiver asks, "How could this have happened?" What is the nurse's best response(s)? (Select all that apply)

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

Explanation

The nurse is providing teaching to a young adult who is at risk for early-onset osteoporosis. Which intervention should the nurse suggest?

Correct Answer is A

Explanation

The nurse is caring for a client who is ready to be discharged home after a cataract extraction with intraocular lens implant. The nurse is reviewing signs and symptoms that need to be reported to the ophthalmologist immediately. Which symptom is the priority for the nurse to teach the client?

The nurse is caring for a child with chronic otitis media infections. Which prescription by the health care provider will the nurse anticipate?

The nurse is preparing to educate a client with Influenza A about the necessary safety measures to prevent the spread of infection. What action is most appropriate to include when developing the teaching plan?

The nurse is caring for a client with dehydration with vital signs as follows: blood pressure 96/72, heart rate 106, respiration rate of 18 breaths/minute, and temperature of 101F. After receiving intravenous fluids, which assessment finding is the best way to determine improvement in fluid status?

The nurse is assessing a client with hypothermia who is on a ventilator and notes a temperature of 82.5°F (32.2°C). Drag from the list of possible interventions from the left to the right that are the most appropriate for the nurse to implement.

The nurse is assessing a client with a sodium level of 138 mEq/L (135-145 mEq/L), bounding pulses, blood pressure of 159/92 mmHg, pedal edema and confusion. Indicate which prescriptions ordered by the provider and nursing actions are essential, non-essential, or contraindicated.