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 B

Explanation

A. While the refusal to eat is concerning, it does not pose an immediate risk to the client's safety.
B. The situation involving the 18-year-old client could escalate quickly and poses an immediate risk to the client's and others' safety, requiring prompt intervention.
C. Pacing may indicate agitation or anxiety; however, it does not require immediate intervention unless it escalates.
D. Refusal to participate in group therapy is a concern for the client's treatment but does not pose an immediate risk to their safety.

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 C,A,D,B

Explanation

C. Discussing the issue privately with the UAP is the first step as it directly addresses the behavior, provides an opportunity for immediate feedback, and allows the UAP to explain their actions.

A. Noting the date and time of the behavior is important for documentation and future reference but follows the initial discussion to ensure accurate recording of events.

D. Planning for scheduled break times may prevent future occurrences by providing clear expectations and structure for the UAP's work schedule.

B. Evaluating the UAP for signs of improvement would be the last step after the above interventions have been implemented to assess their effectiveness and the UAP's adherence to the expected behavior.

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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

The psychiatric nurse is caring for clients on an adolescent unit. Which client requires the nurse's immediate attention?

Correct Answer is B

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 C,A,D,B

Explanation

A mother calls the nurse to report that at 0900 she administered an oral dose of digoxin to her 4-month-old infant, but at 0920 the baby vomited the medicine. Which instruction should the nurse provide to this mother?

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

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A male client reports to the on-call clinic nurse that he took tadalafil 10 mg by mouth two hours ago and his skin now feels flushed. He reports a history of stable angina but denies experiencing any current or recent chest pain. Which action should the nurse take?

The psychiatric nurse is caring for clients on an adolescent unit. Which client requires the nurse's immediate attention?

After receiving report, the nurse can most safely plan to assess which client last?