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A nurse is caring for four clients on the urology unit. Which of the following clients should the nurse plan to teach about kidney stone prevention?

The client admitted to the hospital who has clinical findings of periorbital edema, dark frothy urine, and elevated blood pressure.

The client admitted to the hospital who has clinical findings of severe flank pain, nausea, and vomiting.

The client admitted to the hospital who has clinical findings of polyuria, nocturia, proteinuria, and a palpable kidney mass.

The client admitted to the hospital who has clinical findings of urinary urgency, weak urine stream, and dysuria.

Answer and Explanation

The Correct Answer is B

Choice A reason: Periorbital edema, dark frothy urine, and elevated blood pressure are more indicative of conditions like nephrotic syndrome rather than kidney stones.

Choice B reason: Severe flank pain, nausea, and vomiting are classic symptoms associated with kidney stones, and such clients should be educated on kidney stone prevention.

Choice C reason: Polyuria, nocturia, proteinuria, and a palpable kidney mass could suggest other renal issues, but not specifically kidney stones.

Choice D reason: Urinary urgency, weak urine stream, and dysuria could be symptoms of a urinary tract infection or prostate issues in males, rather than kidney stones.

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Correct Answer is C

Explanation

Choice A reason: In the oliguric phase of acute kidney injury, the creatinine level is expected to increase, not decrease, due to impaired kidney function and decreased filtration.

Choice B reason: The GFR is expected to decrease in acute kidney injury, not increase, as the kidneys' ability to filter

blood is compromised.

Choice C reason: Hyperkalemia, or high potassium levels in the blood, is a common finding in the oliguric phase of acute kidney injury due to decreased excretion of potassium by the kidneys.

Choice D reason: Hypomagnesemia, or low magnesium levels, is not typically associated with the oliguric phase of acute kidney injury. Instead, hypermagnesemia may occur due to decreased excretion of magnesium.

A. Hemoglobin 16 g/dL B. BUN 15 mg/dL C. Serum potassium 4.5 mEq/L D. Serum creatinine 6 mg/dL

Correct Answer is D

Explanation

Choice A reason: A hemoglobin level of 16 g/dL is within the normal range and does not indicate acute kidney injury.

Choice B reason: A BUN level of 15 mg/dL is also within the normal range and does not suggest acute kidney injury.

Choice C reason: A serum potassium level of 4.5 mEq/L is within the normal range and is not indicative of acute kidney injury.

Choice D reason: A serum creatinine level of 6 mg/dL is significantly elevated and indicates impaired kidney function, which is a hallmark of acute kidney injury.

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A nurse is caring for four clients on the urology unit. Which of the following clients should the nurse plan to teach about kidney stone prevention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client in the oliguric phase of acute kidney injury. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

A nurse is reviewing laboratory findings for four clients. Which of the following clients has manifestations of acute kidney injury?

Correct Answer is D

Explanation

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A nurse is reviewing the arterial blood gas values of a client who has chronic kidney disease. Which of the following sets of values should the nurse expect?

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