Why are patients diagnosed with chronic renal failure and on dialysis prone to injury?

Multiple life changes and hormone deficiencies

Bone demineralization and peripheral neuropathy

Impaired immune response and malnutrition

Fatigue and drug side effects

Answer and Explanation

The Correct Answer is B

A. Multiple life changes and hormone deficiencies: These factors may contribute to psychological stress but do not directly increase the risk of physical injury.

B. Bone demineralization and peripheral neuropathy: Chronic renal failure often leads to bone demineralization (secondary to disrupted calcium-phosphorus metabolism) and peripheral neuropathy (due to uremic toxins), both of which increase injury risk.

C. Impaired immune response and malnutrition: These are common in chronic renal failure but are more related to infection risk than injury.

D. Fatigue and drug side effects: While fatigue and medication effects can contribute to falls, the primary causes are bone and nerve damage.

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Correct Answer is B

Explanation

A. Mix with 3 mL of normal saline and inject subcutaneously: Fosfomycin is not administered subcutaneously; it is an oral medication.

B. Mix contents with 90-120 mL of water and administer by mouth: Fosfomycin is supplied as a powder that must be mixed with water before oral administration.

C. Pour contents into a soufflé cup and administer by mouth: The medication must be dissolved in water to ensure proper absorption.

D. Pour contents into 60 mL of juice, stir, and administer by mouth: Mixing with juice is not recommended as it may alter the medication's effectiveness.

Correct Answer is ["0.5"]

Explanation

Ordered dose: 2.5 mg

Available dose: 5 mg/mL

Formula:

Volumetoadminister(mL) = Ordered doseAvailable dose

Volumetoadminister(mL)= 2.55

= 0.5 ml

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Why are patients diagnosed with chronic renal failure and on dialysis prone to injury?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing to administer a single-dose packet of fosfomycin to a patient diagnosed with a UTI. When preparing this medication, the nurse will:

Correct Answer is B

Explanation

Ordered: bethanechol chloride (Urecholine) 2.5mg. SC, stat. On hand: bethanechol chloride 5mg/ml. Give ___________ ml. (show all work or no credit)

Correct Answer is ["0.5"]

Explanation

A home health patient diagnosed with cystitis has been prescribed the medication phenazopyridine (Pyridium). When providing patient teaching, what should the nurse caution the patient about?

A nurse is assessing a patient with renal impairment. Which facial characteristic is a sign of fluid retention?

A patient comes to the medical clinic with complaints of urgency, frequency, pain in the area of the symphysis pubis, and dark cloudy urine. What should the nurse suspect that this patient has?

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