A patient with acute kidney injury has been instructed to limit potassium intake. The nurse recognizes while reinforcing teaching that the teaching has been effective if the patient chooses which of the following snacks? Select all that apply

cranberry juice

chocolate bar

jello (a gelatin dessert)

an orange

grapefruit juice

Answer and Explanation

Correct Answer : A,C

A.   Cranberry juice is typically low in potassium and would be suitable for a patient instructed to limit potassium intake.
B.   Chocolate is generally high in potassium and would not be a suitable snack for a patient limiting potassium intake.
C.   Jello is typically low in potassium and can be a suitable snack for a patient limiting potassium intake.
D.   Oranges are high in potassium and would not be suitable for a patient instructed to limit potassium intake.
E.   Grapefruit juice is high in potassium and would not be suitable for a patient limiting potassium intake.

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Correct Answer is B

Explanation

A. While atrial fibrillation with a rapid ventricular response requires attention, it is not an immediate concern unless associated with symptoms such as chest pain, shortness of breath, or hemodynamic instability.
B. A heart rate of 50 in a patient with a newly inserted permanent pacemaker may indicate bradycardia, which could be a sign of pacemaker malfunction or lead dislodgement. This patient requires immediate assessment to rule out complications.
C. While recent implantable cardioverter-defibrillator (ICD) discharge warrants evaluation, the patient is currently in normal sinus rhythm with a heart rate of 68, suggesting stability. This patient's assessment can be prioritized after the patient with the pacemaker issue is seen.
D. A heart rate of 58 in a patient with chronic atrial fibrillation on beta-blocker therapy may not be immediately concerning if the patient is asymptomatic and hemodynamically stable. This patient can be assessed after addressing the more urgent pacemaker issue.

A. Defibrillation B. Antiarrhythmic medication C. Synchronized cardioversion D. Pacemaker

Correct Answer is A

Explanation

A. Pulseless ventricular tachycardia requires immediate defibrillation to restore a perfusing rhythm.
B. Antiarrhythmic medications are not typically effective for pulseless ventricular tachycardia as the heart is not effectively pumping blood.
C. Synchronized cardioversion is used for certain tachyarrhythmias with a pulse but is not appropriate for pulseless ventricular tachycardia.
D. A pacemaker is not indicated for pulseless ventricular tachycardia as it does not address the underlying issue of cardiac arrest.

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A patient with acute kidney injury has been instructed to limit potassium intake. The nurse recognizes while reinforcing teaching that the teaching has been effective if the patient chooses which of the following snacks? Select all that apply

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

You are caring for this team of patients. Which patient is the priority to see first to collect data?

Correct Answer is B

Explanation

The nurse responds to a call for assistance with a patient in pulseless ventricular tachycardia. The nurse prepares for what first-line treatment for this rhythm?

Correct Answer is A

Explanation

A nurse is caring for a client who is in the oliguric phase of acute kidney injury. Which of the following actions should the nurse take?

The nursing diagnosis of Excess Fluid Volume is made for a patient with chronic kidney disease. Which of the following data is most important for the nurse to collect for this patient based on the nursing diagnosis?

A nurse is reviewing the urinalysis results of a client who reports urinary frequency and burning. Which of the following findings should the nurse report to the provider?

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After reviewing an electrocardiogram, the nurse determines that an electrical impulse originated in a patient's sinoatrial (SA) node with a P wave. What does this represent?

What is seen on an ECG tracing when there is no electrical activity being produced?

Which of the following are rules for atrial fibrillation? Select all that apply

A nurse is reinforcing teaching with a client who has a urinary tract infection (UTI). Which of the following risk factors should the nurse include in the teaching?