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.)

A client who is taking gentamicin for infection

A client who has heart failure

A client who is 1 day postoperative following a colon resection

A client who has pneumonia

Answer and Explanation

Correct Answer : A,B,C

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 patients are at risk for AKI due to various factors such as surgical stress, blood loss during surgery, use of anesthesia, and potential complications that can affect kidney function during the recovery phase.

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.

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Correct Answer is C

Explanation

A.Physical therapist: They primarily focus on physical rehabilitation, exercises, and mobility issues. While they play a critical role in rehabilitation post-surgery or in managing physical limitations, their role in directly addressing psychosocial aspects might be more indirect.

B.Psychiatrist: Psychiatrists specialize in diagnosing and treating mental health conditions. While they are crucial in managing mental health concerns, their role might be more focused on diagnosing and managing specific psychiatric conditions rather than addressing the broad psychosocial impact of BPH.

C.Social worker. A social worker plays a crucial role in addressing the psychosocial impact of chronic conditions like BPH. They assist in addressing emotional concerns, providing support, connecting clients with community resources, addressing financial concerns, and facilitating coping strategies. They can help the client and their family navigate the emotional and social challenges that arise due to the condition. Therefore, involving a social worker in the client's plan of care is crucial to address the psychosocial aspects related to BPH.

D.Occupational therapist: Occupational therapists focus on helping patients develop, recover, or maintain daily living and work skills. They may assist with practical aspects of daily life but may not primarily address the psychosocial impact of BPH.

A. Irrigate the nasogastric tube with tap water. B. Mark abdominal girth once daily. C. Place the client in a high Fowler's position. D. Ambulate the client twice daily.

Correct Answer is ["B","C","D"]

No explanation

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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.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

A nurse is contributing to the plan of care for a client who is postoperative following peritoneal lavage for peritonitis. The client has a nasogastric tube to low-intermittent suction and closed-suction drains in place. Which of the following interventions should the nurse include in the plan?

Correct Answer is ["B","C","D"]

A nurse is caring for a group of clients on a urology unit. Which clients are the most at risk for benign prostatic hypertrophy (BPH)? (Select all that apply.)

A nurse is reinforcing infection control practices for hand hygiene with a group of unit nurses. Which of the following information should the nurse reinforce in the teaching?

A nurse is caring for a client who has a new prescription for warfarin. The nurse should use the results of which of the following diagnostic tests to monitor the effect of this therapy?

A nurse is reviewing the laboratory findings for a client who had a urinalysis. Which finding should the nurse report to the provider?

A nurse is caring for a client admitted to the urology unit with complaints of shortness of breath and a diagnosis of chronic kidney disease. Which of the following pathophysiological changes in the renal system led to the admitting diagnosis of chronic kidney disease?

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