An 85-year-old patient who has fallen at home and was unable to get up is admitted to your nursing unit. The patient said she fell 36 hours ago and has been unable to eat or drink. You observe that the patient has voided scant amounts since admission. In planning care for this patient, what condition do you consider related to the diminished renal output?

Renal calculi

Hypovolemia

inactivity

Nephrotoxic drugs

Answer and Explanation

The Correct Answer is B

A.   While renal calculi (kidney stones) can cause renal issues, they are not directly related to diminished renal output in this scenario. Hypovolemia, or low blood volume, is more pertinent to the patient's presentation of scant voiding and inability to eat or drink.
B.   Diminished renal output, as evidenced by scant voiding, can be indicative of hypovolemia. Hypovolemia reduces kidney perfusion, leading to decreased urine output as the kidneys conserve fluid.
C.   While inactivity can contribute to various health issues, it's not directly related to diminished renal output in this case. The primary concern is addressing the immediate physiological impact of decreased renal function.

D.   While nephrotoxic drugs can impair renal function, there's no indication in the scenario that the patient has been exposed to such drugs. Thus, they are not directly relevant to the current situation.

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

Explanation

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.

A. Atrial fibrillation B. Asystole C. Ventricular fibrillation D. Atrial flutter

Correct Answer is B

Explanation

A. Atrial fibrillation is characterized by rapid, irregular electrical impulses originating from the atria, resulting in a quivering or fibrillating motion of the atria rather than a coordinated contraction.
B. Asystole is the absence of any electrical activity on the cardiac monitor, resulting in a flat line. It indicates the absence of ventricular contraction and is considered a medical emergency requiring immediate intervention (CPR and advanced cardiac life support).
C. Ventricular fibrillation is characterized by chaotic, disorganized electrical activity in the ventricles, resulting in ineffective quivering of the ventricles and loss of cardiac output.
D. Atrial flutter is characterized by rapid but regular electrical impulses originating from the atria, resulting in a sawtooth pattern on the ECG tracing.

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Naxlex Comprehensive Predictor Exams

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

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

Explanation

The nurse is caring for a patient whose cardiac monitor shows a total absence of electrical impulse as indicated by a flat line. The nurse does not detect a pulse or blood pressure. The nurse would document this as which of the following rhythms?

Correct Answer is B

Explanation

The nurse is collecting data on a patient who has presented to the HCP's office with a fever. Which of these findings are indicators of a UTI to the nurse? Select all that apply.

The nurse is reviewing a patient's electrocardiogram (ECG) tracing. Which of the following are characteristics of normal sinus rhythm (NSR?

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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?

A nurse is collecting data from a client who is African American has cholecystitis. Which of the following areas should the nurse inspect to monitor for the presence of jaundice?

A nurse is caring for a client who is 3 days postoperative following a cholecystectomy. The nurse suspects the client's wound is infected because the drainage from the dressing is yellow and thick. Which of the following findings should the nurse report as the type of drainage found?

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?