A nurse is caring for a client admitted with a diagnosis of acute kidney injury. The client asks the nurse, "Are my kidneys failing and will I need a kidney transplant?" The nurse should respond to the client with which of the following statements?

"When the doctor comes to see you, we can talk about whether you will need a transplant."

"Kidney transplantation is likely, and it would be a good idea to start talking to family members."

"No, don't think that. You're going to be fine in a few weeks."

"Your condition can be reversed with prompt treatment and usually will not destroy the kidney."

Answer and Explanation

The Correct Answer is A

A. "When the doctor comes to see you, we can talk about whether you will need a transplant." This response acknowledges the client's concerns and opens the door for further discussion with the healthcare provider about the client's prognosis and potential need for a kidney transplant. It provides an opportunity for the client to receive accurate information from the appropriate healthcare professional.

B. "Kidney transplantation is likely, and it would be a good idea to start talking to family members." This response may cause unnecessary anxiety and speculation for the client without

confirmation from the healthcare provider. It is important to provide information based on the client's specific situation and medical assessment.

C. "No, don't think that. You're going to be fine in a few weeks." This response provides false reassurance and does not address the client's concerns or the potential seriousness of acute kidney injury. It is essential to provide honest and accurate information to the client.

D. "Your condition can be reversed with prompt treatment and usually will not destroy the kidney." While acute kidney injury can sometimes be reversible with prompt and appropriate treatment, it is not always the case. Additionally, it does not address the potential need for a kidney transplant, which depends on the severity and underlying cause of the kidney injury.

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Correct Answer is D

Explanation

A. Manage the emotions: Managing emotions is an important aspect of conflict resolution, but it typically occurs after the problem has been clarified and during the negotiation process to promote constructive dialogue and prevent escalation of conflict.

B. Breaking the ground rules: Breaking the ground rules refers to violating established guidelines or principles for effective communication and negotiation. This step is not evident in the scenario described.

C. Disregard the conflict: Disregarding the conflict would involve ignoring or avoiding addressing the issues altogether, which is not an appropriate approach to conflict resolution. The scenario indicates that the nurse manager is actively engaged in addressing the conflict.
D. Clarify the problem: In negotiation, clarifying the problem involves identifying and defining the underlying issues or concerns contributing to the conflict. Creating a list of main issues helps ensure that all parties have a clear understanding of what needs to be addressed and provides a foundation for developing potential solutions.

A. 18% B. 44% C. 36% D. 54%

Correct Answer is D

Explanation

A. 18% is inaccurate

B. 44% is inaccurate

C. 36% is inaccurate

D. According to the Rule of Nines:

Each arm is typically assigned 9% (4.5% for each arm). The chest and abdomen together are assigned 18%.

The upper back is assigned 9%.

The lower back is assigned 9%.

Each leg is typically assigned 18% (9% for each leg). Adding these percentages together for the described burns:

9% (each arm) + 18% (chest and abdomen) + 9% (upper back) + 9% (lower back) = 54%

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A nurse is caring for a client admitted with a diagnosis of acute kidney injury. The client asks the nurse, "Are my kidneys failing and will I need a kidney transplant?" The nurse should respond to the client with which of the following statements?

Nursing Test Bank

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The nurse manager is negotiating a conflict between the staff nurses and nursing assistants. The nurse manager talked to everyone involved and created a list of the main issues. Which step in the negotiation process does this best describe?

Correct Answer is D

Explanation

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