A nurse is caring for four clients on a medical-surgical unit. Which of the following clients is at the highest risk for developing acute kidney injury?
A client who was admitted with pneumonia receiving cefazolin IV
A client who was admitted with dehydration from bacterial meningitis receiving vancomycin IV
A client who was admitted with uncontrolled atrial fibrillation on a diltiazem IV drip
A client who was admitted with an exacerbation of congestive heart failure receiving metoprolol PO
The Correct Answer is B
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. I probably have problems with incontinence due to exposure to some bacteria while packaging candy on the line." While exposure to bacteria can lead to urinary tract infections, which might contribute to incontinence, this statement might not directly correlate to incontinence caused by job-related factors. It could be a contributing factor but might not solely explain work-related incontinence.
B. Limited or infrequent bathroom breaks can lead to urinary urgency and incontinence, especially for individuals who already have underlying risk factors.Strict monitoring of breaks can create anxiety and further contribute to the urgency and potential loss of bladder controL.
C."I probably have problems with incontinence because the water at work is disgusting and I don't drink enough. “Dehydration: Inadequate fluid intake can contribute to urinary problems, but the client specifically mentions a strict break policy, suggesting limited opportunities for toileting, which is a more direct contributing factor.
D."I probably have problems with incontinence because I am constantly exposed to pesticides at work." Exposure to pesticides might lead to various health issues, but it's less directly associated with urinary incontinence unless there's evidence suggesting a specific impact on bladder function.
Correct Answer is ["C","D"]
Explanation
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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