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A-55-year old male patient is admitted with a massive GI bleed. The patient is at risk for what type of acute kidney injury?

refer to a condition where significant urinary tract obstruction which in severe or long- standing cases can yield to backup of urine into the kidneys

refer to a condition when direct damage to the kidneys causes a sudden loss in kidney function.

refer to a condition in which the kidneys stop functioning due to internal kidney disease.

refer to a condition in which kidney blood flow may become significantly reduced include those in which a significant amount of fluid has been lost.

Answer and Explanation

The Correct Answer is D

Choice A rationale: This refers to postrenal AKI, which is caused by an obstruction in the urinary tract that prevents urine from leaving the body.

Choice B rationale: This refers to AKI in general and is not specific compared to choice D.

Choice C rationale: This refers to intrinsic AKI, which is caused by damage to the kidney tissue or cells from various causes, such as inflammation, infection, toxins, or ischemia.

Choice D rationale: This is correct because it is pre-renal AKI, a condition in which kidney blood flow may become significantly reduced, including cases where a significant amount of fluid has been lost. This situation suggests potential hypovolemia (low blood volume) due to the massive GI bleed, which can lead to reduced kidney blood flow and subsequent acute kidney injury.

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Correct Answer is C

Explanation

Choice A rationale: Clients with Graves' disease may have increased sensitivity to light due to ocular manifestations like photophobia, so keeping the room well-lit may can cause eye irritation.

Choice B rationale: Encouraging frequent ambulation and exercise may worsen the symptoms of hyperthyroidism, such as tachycardia, palpitations, and tremors.

Choice C rationale: This is because clients with Graves' disease have an increased

metabolic rate and may experience weight loss, muscle wasting, and fatigue. A high- calorie and high protein diet can help prevent these complications and provide adequate nutrition for the client.

Choice D rationale: Placing extra blankets over the client may increase the body temperature and cause heat intolerance, which is another common symptom of Graves' disease.

A. Perform active range of motion three times daily. B. Maintain the head of bed in a flat or 30 degree position. C. Teach measures to avoid the Valsalva maneuver. D. Monitor for Battle's sign every four hours.

Correct Answer is C

Explanation

Choice A rationale: Performing active range of motion exercises may not be safe or appropriate immediately following a hemorrhagic stroke.

Choice B rationale: Maintaining the head of bed flat or at a 30-degree position might be used for ischemic strokes but not necessarily for hemorrhagic strokes.

Choice C rationale: Teaching measures to avoid the Valsalva maneuver (straining during activities like defecation) helps prevent sudden increases in intracranial pressure, which can be detrimental after a hemorrhagic stroke.

Choice D rationale: Monitoring for Battle's sign (bruising behind the ears associated with basilar skull fracture) is not relevant in the care of a hemorrhagic stroke.

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A-55-year old male patient is admitted with a massive GI bleed. The patient is at risk for what type of acute kidney injury?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is developing a plan of care for a client with a new diagnosis of Graves' disease. Which of the following interventions does the nurse include in the plan of care?

Correct Answer is C

Explanation

The nurse is caring for a client who is admitted with a hemorrhagic stroke. Which nursing action should be included in the plan of care?

Correct Answer is C

Explanation

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