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

Answer and Explanation

The Correct Answer is B

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

Explanation

A. Pain with urination: Pain during urination is not typically a common symptom of BPH. It's more commonly associated with urinary tract infections (UTIs) rather than solely due to BPH.

B. Urination at night: Frequent urination, especially at night (nocturia), is a common symptom of BPH. As the prostate enlarges, it can obstruct the urethra, leading to incomplete emptying of the bladder, and causing increased urination, especially during the night.

C. Swelling around the eyes: Swelling around the eyes is not a direct symptom of BPH. It's more commonly related to other conditions like allergies or fluid retention but not specifically associated with BPH.

D. Difficulty getting the urine stream started: This is a hallmark symptom of BPH. Enlargement of the prostate can obstruct the urethra, leading to difficulty initiating urination or a weak urine stream.

A. "I will weigh myself every other day." B. "I will only take my diuretic pill if my feet are puffy." C. "I will drink only the amount of fluid in a day that my doctor told me to." D. "I will call my doctor if I feel short of breath all of a sudden."

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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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Explanation

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.)

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

Explanation

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