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When assessing a client with Acute Kidney Injury, which initial nursing assessments should the nurse prioritize? (Select All that Apply.)

Pain level and location

Neurological status and level of consciousness

Gastrointestinal function and bowel sounds

Blood pressure and heart rate

Skin integrity and presence of edema

Psychosocial assessment and support system

Urinary output and color

Nutritional status and dietary preferences

Respiratory status including rate, effort, and oxygen saturation

Answer and Explanation

Correct Answer : B,D,E,G,I

A. Pain is important but not a priority unless the cause of AKI is due to an obstruction.
B. Neurological status is critical because toxin buildup (uremia) can affect cognition and cause confusion or lethargy.
C. GI assessment is less critical in the initial evaluation.
D. Blood pressure and heart rate are essential to assess for fluid volume status and perfusion.
E. Skin integrity and edema give insight into fluid retention, a common issue in AKI.
F. Psychosocial assessment is important but not urgent in the acute setting.
G. Urinary output and color directly reflect kidney function and the effectiveness of perfusion.
H. Nutritional status is relevant but not a top priority during the initial phase of AKI.
I. Respiratory status is prioritized because fluid overload can cause pulmonary edema and respiratory distress.

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Correct Answer is C

Explanation

A: Joining the conversation and supporting one side could escalate the situation and further compromise professionalism.
B: Ignoring the situation may allow unprofessional behavior to continue and could impact team dynamics.
C: It is best to address the situation by suggesting they move the conversation to a private area, ensuring professionalism and confidentiality.
D: Reporting the nurses immediately without intervening is premature; it is better to suggest a more private and professional approach.

Correct Answer is ["7.5"]

Explanation

Availableconcentration(mg)/Desireddose(mg)=Availablevolume(mL)/Requiredvolume(mL)

Plugging in the values:

50mg75mg=5mLxmL

To solve for x, we can multiply both sides by 5 mL:

xmL=5075×5mL

xmL=1.5×5mL

xmL=7.5mL

Therefore, the nurse should administer 7.5 mL per dose.

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When assessing a client with Acute Kidney Injury, which initial nursing assessments should the nurse prioritize? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

You overhear a disagreement between the charge nurse and a staff nurse about patient assignments in a public area. As a fellow nurse, what should you do to address the situation appropriately?

Correct Answer is C

Explanation

A nurse is preparing to administer amantadine 75 mg PO every 12 hr. Available is amantadine 50 mg/5 mL syrup. How many mL should the nurse administer per dose? (Do not use a leading zero, Round the answer to the tenth place, Do not use a trailing zero.)

Correct Answer is ["7.5"]

Explanation

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