A nurse is caring for a client with a new diagnosis of acute kidney injury. The client states, "This is going to mess my life up." Which of the following is the best response by the nurse to assist the client to begin to understand the impact of this disease?
"You have just been diagnosed so it really won't impact your life too much right away."
"With all the treatments they have for this disease, you will be okay."
"The only concern related to the disease that clients have are financial concerns."
"Clients with this disease typically have concerns with finances, treatment, and adjusting to a new normal.
The Correct Answer is D
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is ["C"]
No explanation
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