The nurse realizes that which clients are at risk for intra-renal injury? (Select all that apply)

A client with congestive heart failure

A client taking vancomycin

A client with glomerulonephritis

A client with bladder cancer

A client with a traumatic injury directly onto the kidney

Answer and Explanation

Correct Answer : B,C,E

Choice A reason: Congestive heart failure can lead to prerenal injury due to decreased renal perfusion, but it is not a direct cause of intrarenal injury.

Choice B reason: Vancomycin is a nephrotoxic medication that can cause intrarenal injury. The drug can directly damage the renal tubules, leading to acute kidney injury.

Choice C reason: Glomerulonephritis involves inflammation of the glomeruli, which is a direct cause of intrarenal injury. This condition affects the kidney's filtering units, leading to impaired renal function.

Choice D reason: Bladder cancer is more associated with postrenal injury due to obstruction of urine flow, rather than intrarenal injury.

Choice E reason: A traumatic injury directly onto the kidney can cause damage to the renal tissue, leading to intrarenal injury. This type of injury affects the kidney itself and can result in acute kidney injury.

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Correct Answer is C

Explanation

Choice A reason: The statement "Use of eye drops will improve vision over time" is incorrect. Eye drops for glaucoma help to manage intraocular pressure but do not typically improve vision. They are used to prevent further vision loss.

Choice B reason: The statement "Double vision is a common symptom of glaucoma" is incorrect. Double vision is not a typical symptom of glaucoma. Glaucoma primarily affects peripheral vision.

Choice C reason: The statement "Without treatment, glaucoma can cause blindness" is accurate. Glaucoma is a leading cause of blindness if not treated properly. Managing intraocular pressure is crucial to prevent damage to the optic nerve.

Choice D reason: The statement "Glaucoma is caused by inadequate production of fluid within the eye" is incorrect. Glaucoma is usually caused by increased intraocular pressure due to inadequate drainage of the aqueous humor within the eye.

A. Limit the client's fluid intake in the evening B. Put the side rails up and tell the client to call the nurse before voiding C. Obtain a bedside commode for the client's use D. Leave a nightlight on in the client's room

Correct Answer is C

Explanation

Choice A reason: Limiting fluid intake in the evening may reduce the need to urinate at night but does not address the client's fear of falling. It is more important to provide a safer alternative for nighttime voiding.

Choice B reason: Putting the side rails up and instructing the client to call the nurse before voiding may help, but it does not provide the most immediate and practical solution. A bedside commode offers a safer and more accessible option.

Choice C reason: Obtaining a bedside commode for the client's use directly addresses the client's concern about falling. It allows the client to void safely without having to walk to the bathroom at night, reducing the risk of falls.

Choice D reason: Leaving a nightlight on in the room can help improve visibility but does not completely eliminate the risk of falling. A bedside commode is a more effective solution.

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The nurse realizes that which clients are at risk for intra-renal injury? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing education for a client who has glaucoma. Which statement should the nurse include in the teaching?

Correct Answer is C

Explanation

A nurse is caring for an older adult client who states, "I am afraid that I may fall while walking to the bathroom during the night." Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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