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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

Choice A reason: The annual pneumococcal vaccine is recommended for preventing pneumococcal disease, which can be a complication of COPD, but it is not a primary prevention method for COPD itself.

Choice B reason: Maintaining ideal weight is important for overall health but is not directly related to the prevention of COPD.

Choice C reason: The annual inﬂuenza vaccine can help prevent ﬂu-related complications in individuals with COPD but is not a primary prevention method for COPD.

Choice D reason: Stopping or cutting back on smoking is the most eﬀective way to prevent COPD, as smoking is the leading cause of the disease.

A. Inquire about the patient's use of NSAIDs and analgesics to manage pain. B. Reassure the patient that bone pain is expected with this disease. C. Suggest the use of a back brace to reduce pain. D. Notify the healthcare provider of the onset of new pain.

Correct Answer is D

Explanation

Choice A reason: While it is useful to know the patient's current pain management strategies, new onset severe back pain could indicate a serious complication such as a spinal fracture or compression, which requires immediate attention.

Choice B reason: Reassuring the patient is not appropriate without further assessment, as new onset severe pain could signify a serious issue that needs to be addressed.

Choice C reason: Suggesting a back brace may be part of the management plan, but it should not precede notifying the healthcare provider of new severe pain.

Choice D reason: Notifying the healthcare provider is the correct action because new onset severe back pain in a patient with multiple myeloma could indicate a serious condition such as a spinal fracture or compression, which requires prompt evaluation and treatment.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is giving a presentation at a community center about chronic bronchitis and chronic obstructive pulmonary disease (COPD). Which of the following pieces of information should the nurse include as eﬀective for preventing this disorder?

Correct Answer is D

Explanation

A patient with multiple myeloma calls the home health nurse complaining of severe back pain of new onset. The appropriate response by the nurse is to do which of the following?

Correct Answer is D

Explanation

The nurse evaluates her teaching as eﬀective when the patient recovering from acute renal failure states that he will do which of the following?

A patient's blood gases show a pH of 7.53, PCO2 of 48, and HCO3 of 36 mEq/L. The nurse realizes that the acid-base disorder this patient is demonstrating is which of the following?

A patient whose employment requires frequent lifting has a history of chronic back pain. After the nurse has taught the patient about correct body mechanics, which patient statement indicates the teaching has been eﬀective?

A nurse is assessing a client who has a pneumothorax with a chest tube in place. For which of the following findings should the nurse notify the provider?

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?

In planning care for the patient with acute myocardial infarction (AMI), the nurse identifies the highest priority goal of care as which of the following?

Afterload is most accurately described by which of the following?