A client with renal disease requires IV ﬂuids. It is important for the nurse to:

give the ﬂuids quickly.

monitor the amount of ﬂuid the client is receiving.

if the ﬂuids are too low. increase them to infuse quicker.

check the intravenous rate every two days.

Answer and Explanation

The Correct Answer is B

: A client with renal disease may have impaired kidney function, which can aﬀect ﬂuid balance in the body. Giving ﬂuids too quickly or increasing the infusion rate too quickly can lead to ﬂuid overload,

which can exacerbate the client's condition. It is important for the nurse to monitor the amount of ﬂuid the client is receiving to ensure that the infusion rate is appropriate for the client's condition and to prevent ﬂuid overload. Checking the intravenous rate every two days is not sufficient; the nurse should monitor the rate regularly and adjust it as necessary based on the client's response.

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Correct Answer is A

Explanation

Pulse oximetry is a non-invasive method of monitoring the oxygen saturation level in the blood. A normal range for oxygen saturation is between 95% and 100%. An oxygen saturation level of 89% indicates hypoxemia, which is a serious condition that can lead to tissue damage, organ failure, and even death if left untreated.

Therefore, the priority nursing action is to perform a respiratory assessment to determine the cause of the hypoxemia. This should include assessing the client's airway patency, breathing patern, lung sounds, and oxygen therapy if the client is already receiving it. The nurse should also observe for any signs of respiratory distress such as cyanosis, accessory muscle use, or difficulty breathing.

While it is important to document hypoxemia and report it to the healthcare provider, the priority at this time is to assess and intervene promptly to prevent further deterioration of the client's condition. Checking the placement of the pulse oximeter may be necessary if the reading is unreliable, but it is not the priority in this scenario.

A. O+ B. A+ C. A- D. AB+

Correct Answer is D

Explanation

AB+ blood type is known as the universal recipient because individuals with this blood type have both A and B antigens on the surface of their red blood cells, as well as the Rh antigen. This means that they can receive blood from donors of any ABO blood type (A, B, AB, or O) and Rh factor (positive or negative) without experiencing a transfusion reaction.

Therefore, in the case of a patient who will be needing a blood transfusion, if the nurse knows that the patient's blood type is unknown, it is ideal to give them AB+ blood type as it is considered the safest option.

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A client with renal disease requires IV ﬂuids. It is important for the nurse to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse observes that the client’s pulse oximetry is 89%. What is the priority nursing action?

Correct Answer is A

Explanation

The nurse scaring for a patient who will be needing a blood transfusion. The nurse knows that the universal recipient of blood would be considered blood type:

Correct Answer is D

Explanation

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