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 D
Explanation
Choice A reason: Being a breast cancer survivor is not an absolute contraindication for kidney transplant. Patients with a history of malignancy should be successfully treated before proceeding with transplantation, and most candidates with a history of cancer are advised to wait a period of time between successful treatment and transplantation.
Choice B reason: Having a pacemaker is not a contraindication for kidney transplant. Patients with cardiac devices can undergo transplantation if their cardiac condition is stable and well-managed.
Choice C reason: Age alone, such as being 65 years of age, is not an absolute contraindication for kidney transplant. Many transplant centers perform successful kidney transplants in older adults, considering their overall health and potential benefits from the procedure.
Choice D reason: Active drug or alcohol addiction is considered a contraindication for kidney transplantation. Patients with addiction should be in an established recovery program and stable for a minimum of one year before being considered for transplant.
Correct Answer is ["B","D","E"]
Explanation
Choice A reason: Driving restrictions are not typically necessary for clients on hemodialysis unless there are other underlying conditions affecting their ability to drive safely.
Choice B reason: Clients on hemodialysis need to restrict foods high in potassium, sodium, and phosphorus to manage their electrolyte levels and prevent complications.
Choice C reason: Airplane travel is not generally restricted for hemodialysis clients, but they may need to arrange for dialysis at their destination.
Choice D reason: Time constraints are a significant factor as hemodialysis requires several hours per session, multiple times a week.
Choice E reason: Fluid intake often needs to be restricted in clients on hemodialysis to prevent fluid overload, as the kidneys are not able to remove excess fluid effectively.
Choice F reason: Limiting social activities is not a necessary restriction unless it is related to the client's overall health status.
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