A charge nurse is teaching a newly licensed nurse about fluid shifts. The newly licensed nurse asks why sodium levels are high during dehydration. Which of the following responses should the charge nurse provide?

Water moves from areas where the concentration of sodium is higher to areas where the concentration is lower.

Water moves from areas where the concentration of sodium is lower to areas where the concentration is higher.

Sodium moves from areas where the concentration of solute is lower to areas where the concentration is higher.

Water and sodium particles move together to areas where sodium particles are higher.

Answer and Explanation

The Correct Answer is B

Choice A reason: This statement is incorrect because, during dehydration, water does not move towards areas of lower sodium concentration.

Choice B reason: This is correct because, during dehydration, the body retains sodium, and water follows by osmosis to areas where sodium concentration is higher, which can result in elevated sodium levels.

Choice C reason: Sodium does not typically move across membranes in response to solute concentration gradients; water does.

Choice D reason: Water moves independently of sodium particles, not necessarily together, and it moves towards areas of higher solute concentration.

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Correct Answer is C

Explanation

Choice A reason: In the oliguric phase of acute kidney injury, the creatinine level is expected to increase, not decrease, due to impaired kidney function and decreased filtration.

Choice B reason: The GFR is expected to decrease in acute kidney injury, not increase, as the kidneys' ability to filter

blood is compromised.

Choice C reason: Hyperkalemia, or high potassium levels in the blood, is a common finding in the oliguric phase of acute kidney injury due to decreased excretion of potassium by the kidneys.

Choice D reason: Hypomagnesemia, or low magnesium levels, is not typically associated with the oliguric phase of acute kidney injury. Instead, hypermagnesemia may occur due to decreased excretion of magnesium.

A. Flatened neck veins B. Return of skin to previous position when the client's skin is palpated C. The client has a 5 lb weight gain since yesterday. D. Oxygen saturation 93%

Correct Answer is C

Explanation

Choice A reason: Flatened neck veins would suggest dehydration rather than fluid overload.

Choice B reason: The return of skin to previous position when pinched indicates good skin turgor, not fluid overload.

Choice C reason: A significant weight gain in a short period, such as 5 lb since yesterday, is a classic sign of fluid overload.

Choice D reason: An oxygen saturation of 93% does not necessarily indicate fluid overload.

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A charge nurse is teaching a newly licensed nurse about fluid shifts. The newly licensed nurse asks why sodium levels are high during dehydration. Which of the following responses should the charge nurse provide?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client in the oliguric phase of acute kidney injury. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

A nurse is assessing a client who has end-stage kidney disease and is receiving hemodialysis. Which of the followingfindings should the nurse identify as an indication the client is experiencing fluid overload?

Correct Answer is C

Explanation

The nurse reviews data from a new client's kidney function test. Which of the following standards of transplant nursing practice is the nurse primarily performing?

A nurse is caring for a client who has progressing chronic kidney disease (CKD). Which of the following laboratory results would the nurse expect to find in the client's electronic health record?

A nurse is caring for a group of clients on a medical-surgical unit. Which of the following clients is at greatest risk for urinary retention?

A nurse is caring for a female client who has recurrent kidney stones and is scheduled for an intravenous pyelogram. Which of the following statements by the client should the nurse report to the provider?

A nurse is teaching a group of unlicensed assistive personnel about urinary tract infections (UTIs) in clients who have vaginas. When describing why clients who have vaginas have higher rates of UTIs than clients who do not have vaginas, which of the following explanations should the nurse use?

A nurse is admitting a client who has pyelonephritis. Which of the following manifestations should the nurse expect to be present during the assessment? (Select all that apply.)

A nurse is performing discharge teaching with a client who was admited for pyelonephritis. Which of the following instructions related to the prevention of pyelonephritis should the nurse include in the teaching? (Select all that apply.)

A nurse is caring for a client who has impaired renal function. For which of the following findings should the nurse notify the provider?