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

When administering packed RBCs, the tubing should be primed with 0.9% sodium chloride.
Transfusing each unit of blood over 5 hours (choice A) is not recommended as it may increase the risk of bacterial growth.
Packed RBCs should be transfused over 2 to 3 hours.
Changing the IV tubing after each unit of blood is transfused (choice B) is not necessary.
Administering the blood through a 22-gauge intravenous catheter (choice D) may not be appropriate as a larger gauge catheter is typically used for blood transfusions.

A. Check the infusion site at least every 4 hr. B. Start the infusion at 30 mEq/hr. C. Assess the client for a positive Chvostek sign. D. Monitor the client for adequate urine output.

Correct Answer is D

Explanation

Monitor the client for adequate urine output.
When administering potassium chloride via IV infusion to a client who has severe hypokalemia, it is important for the nurse to monitor the client’s urine output to ensure that their kidneys are functioning properly and that they are able to excrete excess potassium.
Choice A is incorrect because the infusion site should be checked more frequently than every 4 hours.
Choice B is incorrect because the maximum recommended rate of infusion for potassium chloride is 10 mEq/hr.
Choice C is incorrect because Chvostek’s sign is used to assess for hypocalcemia, not hypokalemia.

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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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Explanation

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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?