A nurse working on a medical-surgical unit suspects that several clients have Clostridium difficile (C. difficile) when they all develop watery diarrhea. Which of the following actions should the nurse plan to take while waiting for the client's lab results?

Request the providers to initiate antibiotic therapy for every client on the unit.

Perform hand hygiene with an alcohol-based agent.

Obtain stool cultures from all clients on the nursing unit.

Place all clients who have manifestations on contact precautions.

Answer and Explanation

The Correct Answer is A

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Correct Answer is A

Explanation

A. White blood cells (WBC) of 10:A WBC count of 10 is higher than the typical reference range (usually 0–5 WBCs per high-power field). An elevated WBC count suggests infection or inflammation, and this should be reported for further assessment.

B. Occasional casts:Occasional casts in the urine can be normal, especially hyaline casts, which may appear after exercise or mild dehydration. However, a high number of casts, or specific types like red or white cell casts, may indicate renal disease and would require follow-up.

C. pH of 5.0:A urine pH of 5.0 is within the normal acidic range (typically 4.5 to 8.0) and does not require reporting unless there are other abnormal findings or specific concerns about acidosis or alkalosis.

D. Dark amber color. Dark amber urine can indicate dehydration but is not an unusual finding by itself. Hydration can typically correct this, so it does not need immediate reporting unless accompanied by other concerning symptoms (e.g., jaundice, which might suggest bilirubinuria).

A. A client who is taking gentamicin for infection B. A client who has heart failure C. A client who is 1 day postoperative following a colon resection D. A client who has pneumonia

Correct Answer is ["A","B","C","E"]

Explanation

A.Gentamicin is known to be nephrotoxic and can potentially cause kidney damage, especially if not properly monitored for dosage and duration of use. Therefore, this client is at increased risk for AKI due to the medication.

B.Heart failure, particularly when it is acute or decompensated, can reduce renal perfusion, leading to prerenal acute kidney injury. In heart failure, the reduced cardiac output leads to decreased blood flow to the kidneys, which can impair kidney function and result in AKI.

C.Postoperative clients may have hypovolemia, hypotension, or sepsis, all of which are common triggers of AKI. Surgery-related stress and anesthesia may also decrease renal perfusion.

D.Pneumonia itself does not directly cause acute kidney injury. In the absence of complications like sepsis or dehydration, pneumonia alone is not a significant direct risk for AKI.

E. Systemic lupus erythematosus (SLE) can cause lupus nephritis, an intrarenal cause of AKI. An exacerbation increases this risk due to inflammation or immune complex deposition in the kidneys.

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A nurse working on a medical-surgical unit suspects that several clients have Clostridium difficile (C. difficile) when they all develop watery diarrhea. Which of the following actions should the nurse plan to take while waiting for the client's lab results?

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Naxlex Comprehensive Predictor Exams

A nurse is reviewing the laboratory findings for a client who had a urinalysis. Which finding should the nurse report to the provider?

Correct Answer is A

Explanation

A nurse is caring for a group of clients on a medical unit. Which of the following clients is the most at risk for an acute kidney injury? (Select all that apply.)

Correct Answer is ["A","B","C","E"]

Explanation

A nurse is assisting in the assessment of a client coming into the clinic for complaints of painful urination. The client reports that they leak urine when they sneeze, cough, or lift heavy objects. Which of the following best describes the cause of this type of urinary elimination alteration?

A nurse is caring for a client who has acute kidney injury (AKI). The nurse should expect which of the following findings in the client's medical record? (Select all that apply.)

A nurse is planning care for a child who has severe diarrhea. Which of the following actions is the nurse's priority?

A nurse working on a medical-surgical unit suspects that several clients have Clostridium difficile (C. difficile) when they all develop watery diarrhea. Which of the following actions should the nurse plan to take while waiting for the client's lab results?

A nurse is caring for a client who has a new prescription for warfarin. The nurse should use the results of which of the following diagnostic tests to monitor the effect of this therapy?

A nurse is assisting with teaching a client who is on a soft diet. Which of the following foods should the nurse include in the teaching