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 B

Explanation

A monthly calendar can help the client with Alzheimer's disease to orient to time and date and reduce confusion and anxiety. The nurse should encourage the family to use simple and clear reminders and cues to assist the client with daily activities and routines.

Covering electrical outlets with tape is not necessary and may pose a fire hazard. Keeping the client's bedroom dark at night may increase the risk of falls and injuries. A large-face clock may be helpful, but not as much as a calendar.

A. "Are your immunizations current?" B. Do you have any household pets, such as a cat?" C. "Was anyone in your family recently exposed to a viral disease?" D. "Have you been out of the country in the past 30 days?"

Correct Answer is B

Explanation

Toxoplasmosis is a parasitic infection caused by Toxoplasma gondii, which can be transmitted by contact with cat feces or eating undercooked meat containing cysts. The nurse should ask about the client's exposure to cats or cat litter, as this is a risk factor for acquiring toxoplasmosis, especially in immunocompromised individuals.

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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?

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