A nurse is assisting with the discharge teaching for a client on home intermittent peritoneal dialysis. Which of the following statements by the client indicates an understanding of fluid balance self-management? (Select all that apply.)

"I will weigh myself every other day."

"I will only take my diuretic pill if my feet are puffy."

"I will drink only the amount of fluid in a day that my doctor told me to."

"I will call my doctor if I feel short of breath all of a sudden."

Answer and Explanation

Correct Answer : C,D

a. Weight monitoring is important for managing fluid balance. However, daily weight checks are typically recommended for clients on dialysis to accurately monitor fluid changes and detect any issues early. Weighing oneself every other day might not provide sufficient information for managing fluid status effectively.

b. This approach is not ideal. Diuretics should be taken as prescribed by the healthcare provider, not based on subjective symptoms like puffiness of the feet. Adhering to the prescribed medication schedule is crucial for managing fluid balance.

c. This statement indicates a good understanding of fluid restriction guidelines. Following the prescribed fluid intake limits is essential for maintaining proper fluid balance and preventing complications.

d. Shortness of breath can be a sign of fluid overload or other complications, and it is important to seek medical advice promptly. Calling the doctor in such situations shows an understanding of when to seek help.

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Correct Answer is ["A","B","C","E"]

Explanation

A.Gentamicin is known to be nephrotoxic and can potentially cause kidney damage, especially if not properly monitored for dosage and duration of use. Therefore, this client is at increased risk for AKI due to the medication.

B.Heart failure, particularly when it is acute or decompensated, can reduce renal perfusion, leading to prerenal acute kidney injury. In heart failure, the reduced cardiac output leads to decreased blood flow to the kidneys, which can impair kidney function and result in AKI.

C.Postoperative clients may have hypovolemia, hypotension, or sepsis, all of which are common triggers of AKI. Surgery-related stress and anesthesia may also decrease renal perfusion.

D.Pneumonia itself does not directly cause acute kidney injury. In the absence of complications like sepsis or dehydration, pneumonia alone is not a significant direct risk for AKI.

E. Systemic lupus erythematosus (SLE) can cause lupus nephritis, an intrarenal cause of AKI. An exacerbation increases this risk due to inflammation or immune complex deposition in the kidneys.

A. "You should stop because you need to. You are destroying your health." B. "Do you have any idea why you do this?" C. "Tm proud of you for recognizing that this behavior is not normal." D. "It seems like you are feeling helpless about this behavior."

Correct Answer is D

No explanation

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A nurse is assisting with the discharge teaching for a client on home intermittent peritoneal dialysis. Which of the following statements by the client indicates an understanding of fluid balance self-management? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a group of clients on a medical unit. Which of the following clients is the most at risk for an acute kidney injury? (Select all that apply.)

Correct Answer is ["A","B","C","E"]

Explanation

A nurse is caring for a 20-year-old college student who has a 2-year history of bulimia nervosa. She tells the nurse, "I know my eating binges and vomiting are not normal, but I cannot do anything about them." Which of the following is a therapeutic response by the nurse?

Correct Answer is D

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