The nurse is receiving morning report on several clients with mobility concerns. Which client is the priority for the nurse to assess?

The client with Parkinson's Disease who needs to use the bathroom.

The client with osteoporosis who refuses to take their bisphosphonate.

The client with a hip fracture who is 3 days post-operative.

The older adult client who was ambulating around the unit.

Answer and Explanation

The Correct Answer is A

A. A client with Parkinson’s disease who urgently needs to use the bathroom is at high risk for falls due to rigidity, tremors, and shuffling gait. Needing to move quickly to the bathroom further increases the risk of injury, making this the priority for immediate assessment and assistance.
B. Refusing bisphosphonate therapy for osteoporosis is important to address but does not present an immediate safety risk requiring urgent assessment.
C. A client who is 3 days post–hip fracture surgery requires ongoing monitoring, but this is expected care and not an immediate fall or injury risk compared with the Parkinson’s client.
D. An older adult ambulating may need monitoring for safety, but unless new symptoms arise, this does not pose the same level of urgency as the Parkinson’s client who needs urgent toileting.

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Correct Answer is D

Explanation

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.

A. Document and continue to monitor B. Evaluate for tachycardia, hypotension, and tachypnea C. Draw a set of serum laboratory tests D. Place in a prone position and prepare for surgery

Correct Answer is B

Explanation

A. Documentation and monitoring are important but not the immediate priority in an unstable, potentially life-threatening situation.
B. The nurse’s first priority is to assess for signs of hypovolemic shock (tachycardia, hypotension, tachypnea) due to bleeding and perforation. This guides urgent interventions to stabilize the client.
C. Drawing labs is appropriate but not the priority before assessing airway, breathing, and circulation (ABCs).
D. The client should not be placed prone; maintaining supine or semi-Fowler’s positioning is safer while preparing for possible surgery.

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The nurse is receiving morning report on several clients with mobility concerns. Which client is the priority for the nurse to assess?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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