A nurse in the emergency department is caring for a client who collapsed after playing football on a hot day. After reviewing the admission laboratory findings, the nurse recognizes that these findings are consistent with which of the following conditions?
Renal failure
Low-protein diet
Dehydration
Syndrome of inappropriate antidiuretic hormone (SIADH)
The Correct Answer is C
Choice A reason: Renal failure is typically associated with abnormal creatinine and BUN levels, which are not
indicated in the given lab values.
Choice B reason: A low-protein diet is not directly indicated by the lab values provided and does not typically result in
collapse after exertion.
Choice C reason: Dehydration is consistent with the client's history of collapsing after playing football on a hot day
and is supported by the elevated sodium level.
Choice D reason: SIADH usually presents with low sodium levels due to dilution, which is not the case here.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Maintaining the client in a left lateral position is not specifically required for peritoneal dialysis. Positioning may vary based on the individual's comfort and specific medical needs.
Choice B reason: While monitoring vital signs is important during any medical procedure, it is not an intervention that directly ensures proper dialysate exchange in peritoneal dialysis.
Choice C reason: Warming the dialysate solution prior to instillation is a standard practice in peritoneal dialysis. It helps to promote patient comfort and more efficient exchange of wastes and fluids.
Choice D reason: Placing the drainage bag above the level of the client's abdomen would impede gravity drainage, which is necessary for proper dialysate exchange. The drainage bag should be placed below the level of the client's abdomen.
.
Correct Answer is B
Explanation
Choice A reason: The bladder is not where renal calculi typically begin to form; it is where they may end up if they travel down from the kidneys.
Choice B reason: Renal calculi commonly begin forming at the renal papilla, which is part of the kidney where urine collects before it flows into the ureter.
Choice C reason: The ureter is not the typical starting point for the formation of renal calculi, though stones can travel through it.
Choice D reason: The urethra is not a common site for the formation of renal calculi; it is the duct through which urine is discharged.
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