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

Answer and Explanation

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.

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Correct Answer is D

Explanation

A low potassium level (hypokalemia) can increase the risk for digoxin toxicity because it enhances the binding of digoxin to cardiac cells and increases its effects on cardiac contractility and electrical conduction. The nurse should monitor the client's potassium level and administer potassium supplements as prescribed if needed. The other electrolytes are not directly related to digoxin toxicity.

A. Measure the client's blood pressure. B. Prepare the client for temporary pacing. C. Initiate IV fluid therapy for the client. D. Administer atropine to the client.

Correct Answer is A

Explanation

The nurse should measure the client's blood pressure first, as sinus bradycardia can cause hypotension and decreased perfusion to vital organs. The nurse should assess the client's hemodynamic status and symptoms before initiating any interventions that may affect their heart rate or rhythm. The other options may be appropriate depending on the severity of the bradycardia and its underlying cause, but they are not the first priority.

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A nurse is assessing a client who has acute kidney failure. Which of the following findings should the nurse report to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is taking digoxin 0.125 mg PO daily and is at risk for developing digoxin toxicity. The nurse should monitor the client for an imbalance of which of the following electrolytes because it can increase the risk for digoxin toxicity?

Correct Answer is D

Explanation

A nurse in an emergency department is caring for a client who has sinus bradycardia. Which of the following actions should the nurse take first?

Correct Answer is A

Explanation

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