Mr. T. W. is admited to your unit with a diagnosis of small bowel obstruction after swallowing a golf ball related to a freak golfing accident. Mr. T. W.'s urine output has been steadily decreasing, and pre-renal failure is suspected. Which of the following conditions would likely cause pre-renal failure?

Nephrotoxicity

Acute tubular necrosis

Hypovolemia

Acute Glomerulonephritis

Answer and Explanation

The Correct Answer is C

Choice A reason: Nephrotoxicity causes intrinsic renal failure due to direct damage to the renal parenchyma, not pre-renal failure.

Choice B reason: Acute tubular necrosis is a type of intrinsic renal failure resulting from damage to the renal tubules, not pre-renal failure.

Choice C reason: Hypovolemia is a common cause of pre-renal failure due to decreased blood ﬂow to the kidneys, leading to reduced urine output.

Choice D reason: Acute Glomerulonephritis is an intrinsic renal condition that aﬀects the glomeruli, not a pre-renal cause.

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Free Nursing Study Resources

Correct Answer is D

Explanation

Choice A reason: Urine output is important but not the priority after administration of fibrinolytic medication.

Choice B reason: Vital signs are routinely monitored but the priority is assessing for any signs of complications from the medication, such as bleeding or stroke.

Choice C reason: The name of the patient's dog is irrelevant to the patient's medical care and assessment.

Choice D reason: Neurological status is the priority to monitor for signs of intracranial hemorrhage, a potential complication of fibrinolytic therapy.

A. Evaluating the eﬀectiveness of opioid analgesics B. Limiting the patient's intake of oral and IV ﬂuids C. Teaching the patient about high-protein, high-calorie foods D. Encouraging the patient to ambulate as much as tolerated

Correct Answer is A

Explanation

Choice A reason: Evaluating the eﬀectiveness of opioid analgesics is crucial as pain management is a primary concern for patients experiencing a sickle cell crisis.

Choice B reason: Limiting the patient's intake of oral and IV ﬂuids is not recommended as hydration is important for patients with sickle cell crisis to reduce blood viscosity and improve circulation.

Choice C reason: Teaching the patient about high-protein, high-calorie foods is beneficial for long-term management but is not the immediate nursing intervention during a crisis.

Choice D reason: Encouraging ambulation may be part of recovery but is not the primary intervention during an acute sickle cell crisis due to the risk of pain exacerbation.

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Naxlex Comprehensive Predictor Exams

The nurse receives a patient from the emergency department following administration of a fibrinolytic medication, TPA, for a large anterior wall myocardial infarction. The priority assessment for this patient would be which of the following?

Correct Answer is D

Explanation

Which nursing intervention is important when providing care for a patient with sickle cell crisis?

Correct Answer is A

Explanation

A nurse is caring for a client who has multiple sclerosis. Which of the following factors should the nurse anticipate have been identified as contributing to the development of multiple sclerosis? (Select all that apply.)

Which finding for a patient admitted with glomerulonephritis indicates to the nurse that treatment has been eﬀective?

A nurse is providing teaching to a client who has a new diagnosis of Crohn's disease. Which of the following statements by the nurse provides the most simplistic and non-medical description of the disorder?

A nurse is preparing to administer dabigatran to a client who has atrial fibrillation. The nurse should explain that the purpose of this medication is which of the following?

A nurse is caring for a client who had a stroke and has dysphagia. The nurse should monitor the client for which of the following complications?

A nurse is developing a plan of care for an 80-year-old client who is postoperative. This client has a 38 pack-year smoking history. Which of the following interventions should the nurse include in the plan to prevent pulmonary complications?

A nurse is caring for a female client who has recurrent kidney stones and is scheduled for an intravenous pyelogram. Which of the following statements by the client should the nurse report to the provider?

Which of the following are the main types of functional headaches? Select all that apply.