A nurse is reinforcing teaching about monitoring weight with a client who has chronic kidney disease. Which of the following instructions should the nurse include in the teaching?

Use several different scales to obtain the weight.

Weigh at the same time each day.

Calibrate weight scales every week.

Measure weight just prior to voiding.

Answer and Explanation

The Correct Answer is B

Choice A rationale
Using several different scales to obtain the weight is incorrect. Consistency is key when monitoring weight, especially for clients with chronic kidney disease. Using the same scale ensures that weight measurements are accurate and comparable over time. Different scales may have slight variations, leading to inconsistent and unreliable data.
Choice B rationale
Weighing at the same time each day is correct. It is important to weigh at the same time each day, preferably in the morning after voiding and before eating, to obtain consistent and accurate measurements. This helps in monitoring fluid retention and changes in body weight, which are critical for managing chronic kidney disease.
Choice C rationale
Calibrating weight scales every week is not necessary. While it is important to ensure that the scale is accurate, weekly calibration is excessive. Regular calibration according to the manufacturer’s instructions or as needed is sufficient to maintain accuracy. Over-calibration can be time-consuming and may not significantly improve measurement accuracy.
Choice D rationale
Measuring weight just prior to voiding is incorrect. Weighing after voiding provides a more accurate measurement of body weight without the influence of bladder contents. This is especially important for clients with chronic kidney disease, as fluid balance and retention are closely monitored.

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Correct Answer is B

Explanation

Choice A rationale
Monitoring intake and output is important but not the first priority. The immediate concern is to address the client’s pain.
Choice B rationale

Administering pain medication is the first priority. Managing the client’s pain will help alleviate discomfort and allow for further assessment and treatment.
Choice C rationale
Ambulating in the hall is not appropriate for a client experiencing flank pain and nausea. It could exacerbate the symptoms.
Choice D rationale
Straining the urine is important for identifying any stones, but it is not the first priority. Pain management should be addressed first.

A. This test will inform your provider if you are anemic. B. This test will inform your provider if you have an infection. C. This test will inform your provider how your kidneys are functioning. D. This test will inform your provider if you have a thyroid disorder.

Correct Answer is C

Explanation

Choice A rationale

A serum creatinine test does not inform the provider about anemia. Anemia is typically diagnosed through a complete blood count (CBC) test, which measures the levels of hemoglobin and hematocrit in the blood.
Choice B rationale
A serum creatinine test does not provide information about infections. Infections are usually diagnosed through clinical evaluation and specific tests such as blood cultures, urine cultures, or imaging studies.
Choice C rationale
A serum creatinine test measures the level of creatinine in the blood, which is an indicator of kidney function. Elevated creatinine levels can indicate impaired kidney function or kidney disease.
Choice D rationale
A serum creatinine test does not provide information about thyroid disorders. Thyroid function is typically assessed through tests that measure levels of thyroid hormones (T3 and T4) and thyroid-stimulating hormone (TSH) in the blood.

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A nurse is reinforcing teaching about monitoring weight with a client who has chronic kidney disease. Which of the following instructions should the nurse include in the teaching?

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Naxlex Comprehensive Predictor Exams

A nurse is admitting a client who reports recurrent flank pain and nausea for 24 hr. Which of the following actions should the nurse take first?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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