A nurse is assessing a client who has acute kidney failure. Which of the following findings should the nurse report to the provider?
Creatinine 0.8 mL/dL
Weight gain 1.1 kg (2.4 lb) in 24 hr
Peripheral pulses 2+ bilaterally
Urine specific gravity 1.045
The Correct Answer is B
Weight gain 1.1 kg (2.4 lb) in 24 hours indicates fluid retention and possible volume overload, which can worsen kidney function and cause complications such as hypertension, pulmonary edema, and heart failure. The nurse should report this finding to the provider and monitor the client's vital signs, fluid intake and output, and electrolyte levels.
Creatinine 0.8 mL/dL is within the normal range for adults and does not indicate kidney impairment. Peripheral pulses 2+ bilaterally are normal and do not suggest any vascular problems. Urine specific gravity 1.045 is slightly high but not abnormal for a client with acute kidney failure, as it reflects the reduced ability of the kidneys to dilute urine.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is D
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