Which laboratory results should the nurse closely monitor in a client who has end-stage renal disease (ESRD)?

Blood pressure, heart rate, and temperature.

Leukocytes, neutrophils, and thyroxine.

Serum potassium, calcium, and phosphorus.

Erythrocytes, hemoglobin, and hematocrit.

Answer and Explanation

The Correct Answer is C

A. While monitoring blood pressure, heart rate, and temperature is important for overall health assessment, they are not specifically indicative of end-stage renal disease (ESRD).
B. Leukocytes, neutrophils, and thyroxine are not directly related to renal function or the complications of ESRD.
C. Clients with ESRD are at risk for electrolyte imbalances, including hyperkalemia, hypocalcemia, and hyperphosphatemia, so monitoring serum potassium, calcium, and phosphorus levels is crucial.
D. Monitoring erythrocytes, hemoglobin, and hematocrit levels is important for assessing
anemia, which is common in ESRD, but it's not the most critical parameter to monitor compared to electrolyte imbalances.

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Correct Answer is A

Explanation

A. Influenza is a respiratory virus that is primarily spread through droplets. Wearing a face mask is essential to prevent the spread of the virus, especially in close contact situations.
B. While a fitted respirator mask is beneficial in certain situations, it is not typically required for standard influenza precautions unless the client has a known or suspected case of a highly
infectious disease like tuberculosis.

C. Assigning the UAP to another client and assuming full care of the client with influenza is not necessary and could disrupt the workflow and care of other clients.
D. Notifying the nurse of any changes in the client's respiratory status is important, but it does not address the immediate concern of preventing the spread of influenza.

A. Note date and time of the behavior. B. Evaluate the UAP for signs of improvement C. Discuss the issue privately with the UAP. D. Plan for scheduled break times

Correct Answer is A,C,D,B

Explanation

A. Documenting the date and time of the behavior provides an objective record of the incident and establishes a basis for discussion. C. Discussing the issue privately with the UAP allows the manager to address the behavior, understand the underlying cause, and provide guidance in a confidential setting. D. Planning scheduled break times can help prevent recurrence by ensuring the UAP knows when it is appropriate to leave the unit. B. Evaluating the UAP for signs of improvement allows the manager to monitor progress and determine whether further intervention or support is needed.

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Which laboratory results should the nurse closely monitor in a client who has end-stage renal disease (ESRD)?

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Naxlex Comprehensive Predictor Exams

A client with influenza needs help in transferring to the bedside commode. The nurse observes the unlicensed assistive personnel (UAP) donning gloves and a gown to assist the client. Which action should the nurse take?

Correct Answer is A

Explanation

An unlicensed assistive personnel (UAP) leaves the unit without notifying the staff. In which order should the unit manager implement these interventions to address the UAP's behavior? (Place the actions in order from first on top to last on bottom.)

Correct Answer is A,C,D,B

Explanation

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