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 C

Explanation

Prealbumin is a protein that is produced by the liver and is used as a marker of nutritional status.
It has a short half-life, so changes in pre albumin levels can reflect recent changes in nutritional status.
Monitoring pre albumin levels can help assess the effectiveness of total parenteral nutrition.
Lipase is an enzyme that is produced by the pancreas and is not used to monitor overall nutritional status.
B) C-reactive protein is a marker of inflammation and is not used to monitor overall nutritional status.
D) Creatinine is a waste product that is produced by muscle metabolism and is not used to monitor overall nutritional status.

A. Clean the equipment in the client's room once per week. B. Provide a diet of fresh fruits and vegetables for the client. C. Limit visitation time for the client's children to 40 min per day. D. Apply new gloves when alternating between wound care sites.

Correct Answer is D

Explanation

The nurse should apply new gloves when alternating between wound care sites.

This is to prevent cross-contamination and infection.
Choice A, cleaning the equipment in the client’s room once per week, is not an answer because it is not mentioned in the search results as an intervention for a client with full-thickness burns on the lower extremities.
Choice B, providing a diet of fresh fruits and vegetables for the client, is not an answer because it is not mentioned in the search results as an intervention for a client with full-thickness burns on the lower extremities.
Choice C, limiting visitation time for the client’s children to 40 min per day, is not an answer because it is not mentioned in the search results as an intervention for a client with full-thickness burns on the lower extremities.

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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

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Correct Answer is 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?