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A nurse is providing teaching to a client about completing a creatinine clearance test. Which of the following instructions should the nurse include in the teaching?

"You will need to start the collection time with your first urine specimen of the day."

"You will need to collect all of your urine for the next 12 hours."

"You will need to avoid rigorous exercise during the test."

"You will need to store the urine container in a dark location."

Answer and Explanation

The Correct Answer is C

The correct answer is choice C: "You will need to avoid rigorous exercise during the test."

Rationale:

Choice A: The collection time for a 24-hour urine creatinine clearance test typically starts at a specific time, not necessarily with the first urine of the day.
Choice B: A creatinine clearance test requires a 24-hour urine collection, not just 12 hours.
Choice C: Avoiding rigorous exercise is important during the test as it can affect creatinine levels and impact the accuracy of the results.
Choice D: Storing the urine container in a dark location is not necessary for a creatinine clearance test.

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Correct Answer is A

Explanation

The correct answer is Choice A

Choice A rationale: Headache and restlessness can be signs of a seizure or neurological disturbance, which phenytoin is used to treat. Phenytoin is an anticonvulsant medication that helps control seizures by stabilizing neuronal membranes and reducing excitability.

Choice B rationale: Decreased blood pressure and rapid pulse are not indications for phenytoin administration. These symptoms may suggest hypotension or cardiovascular issues, which require different interventions such as fluid resuscitation or vasopressors.

Choice C rationale: Muscle cramps and chest heaviness are not treated with phenytoin. These symptoms could indicate electrolyte imbalances or cardiac issues, which need specific treatments like electrolyte replacement or cardiac monitoring.

Choice D rationale: Pain and tingling at the access site are not indications for phenytoin administration. These symptoms may suggest local irritation or infection at the dialysis access site, requiring appropriate wound care or antibiotics.

A. "The kidney infection has caused narrowing of the ureters, and your abdomen has filled with fluid." B. "The kidneys continue to enlarge due to the cysts growing, which increases the girth of your abdomen." C. "The stones might descend into the ureters, blocking the flow of urine and causing an increase in the girth of your abdomen." D. "The in?ammation in your kidneys damages the filtration system, which causes fluid retention in your abdomen."

Correct Answer is B

Explanation

Choice A reason: While kidney infections can cause swelling, they typically do not lead to a significant increase in abdominal girth unless associated with severe obstruction or advanced kidney disease.

Choice B reason: In PKD, the kidneys can become significantly enlarged due to the growth of numerous cysts, which

can indeed lead to an increase in abdominal girth.

Choice C reason: While stones can cause blockage and swelling, they would not typically result in a generalized increase in abdominal girth unless there is an associated infection or severe obstruction.

Choice D reason: Inflammation can lead to fluid retention, but in the context of PKD, it is the cysts' growth that primarily contributes to increased kidney size and abdominal girth.

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A nurse is providing teaching to a client about completing a creatinine clearance test. Which of the following instructions should the nurse include in the teaching?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client immediately following a hemodialysis treatment. For which of the following manifestations will the nurse administer a PRN dose of phenytoin?

Correct Answer is A

Explanation

A nurse is caring for a client who has polycystic kidney disease (PKD). The client is admited to the hospital for renal calculi and reports that their abdomen has been getting bigger. Which of the following statements by the nurse is the best explanation for the increase in abdominal girth?

Correct Answer is B

Explanation

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