A nurse is admitting a client to the emergency department after a gunshot wound to the abdomen.

Which of the following actions should the nurse take to help prevent the onset of acute kidney failure?

Administer IV fluids to the client.

Insert a urinary catheter.

Prepare the client for an intravenous pyelogram.

Initiate beta-blocker therapy.

Answer and Explanation

The Correct Answer is A

Administering IV fluids can help maintain blood flow to the kidneys and prevent acute kidney failure.
Choice B is incorrect because inserting a urinary catheter does not prevent acute kidney failure.
Choice C is incorrect because an intravenous pyelogram is a diagnostic test and does not prevent acute kidney failure.
Choice D is incorrect because beta-blocker therapy is not used to prevent acute kidney failure.

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Correct Answer is D

Explanation

If the new TPN solution is not available, the nurse should infuse dextrose 10% in water to prevent hypoglycemia.
Choice A is incorrect because disconnecting and flushing the IV access line would interrupt the client’s nutrition and could lead to hypoglycemia.
Choice B is incorrect because lactated Ringer’s solution does not provide the necessary glucose to prevent hypoglycemia.
Choice C is incorrect because decreasing the TPN infusion rate would not provide the necessary glucose to prevent hypoglycemia.

A. Sardines. B. Apricots. C. Scallops. D. Nuts. E. Liver.

Correct Answer is ["B","D"]

Explanation

Apricots and nuts are low-purine foods that can be included in a low-purine diet.

Sardines are high in purine and should be limited or avoided.

Scallops are high in purine and should be limited or avoided.

Liver is high in purine and should be limited or avoided.

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A nurse is admitting a client to the emergency department after a gunshot wound to the abdomen. Which of the following actions should the nurse take to help prevent the onset of acute kidney failure?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is receiving total parenteral nutrition (TPN). The current infusion is almost complete and the new solution is not available, Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is planning to teach a client whose provider has prescribed a low-purine diet. The nurse should plan to instruct the client that he can include which of the following foods in his diet? (Select all that apply.).

Correct Answer is ["B","D"]

Explanation

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A nurse is admitting a client to the emergency department after a gunshot wound to the abdomen.

Which of the following actions should the nurse take to help prevent the onset of acute kidney failure?