The laboratory findings for a client with chronic kidney disease (CKD) include elevated blood urea nitrogen (BUN) and serum creatinine levels. The client reports feeling fatigued and is unable to concentrate during the morning assessments. Based on these findings, which action should the nurse implement?
Provide high protein snacks.
Administer PRN oxygen.
Monitor glucose levels every 4 hours.
Schedule frequent rest periods.
The Correct Answer is D
A. Provide high protein snacks. High protein snacks may exacerbate the symptoms of CKD by increasing urea and creatinine levels further. It is not recommended.
B. Administer PRN oxygen. Oxygen therapy is not indicated based on the symptoms described and the laboratory findings of elevated BUN and serum creatinine.
C. Monitor glucose levels every 4 hours. Monitoring glucose levels is not directly related to the symptoms described or the laboratory findings associated with CKD.
D. Schedule frequent rest periods. Fatigue and difficulty concentrating are common symptoms of CKD due to the buildup of waste products in the blood. Scheduling frequent rest periods can
help alleviate these symptoms and improve the client's overall well-being.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["18"]
Explanation
First, we need to find the concentration of Heparin per milliliter in the current infusion. We can do this by dividing the total number of Heparin units by the total volume of the infusion:
Heparin concentration (units/mL) = Total Heparin units / Total volume (mL) Heparin concentration = 25,000 units / 500 mL
Heparin concentration = 50 units/mL
Now, we know the desired rate of Heparin delivery (900 units/hour) and the concentration of Heparin per milliliter (50 units/mL). We can use this information to calculate the required flow rate in milliliters per hour:
Flow rate (mL/hour) = Desired Heparin rate (units/hour) / Heparin concentration (units/mL)
Flow rate = 900 units/hour / 50 units/mL Flow rate = 18 mL/hour
Therefore, the nurse should set the infusion pump to deliver 18 mL/hour.
Correct Answer is D
Explanation
A. Verify the prothrombin time (PT).
While it is important to verify coagulation status in patients with atrial fibrillation to ensure they are not at high risk for bleeding, this is not the most critical step immediately prior to
cardioversion. The PT is more relevant if anticoagulation therapy is being managed.
B. Administer prescribed sedative.
Administering a sedative is important for patient comfort during the procedure, but it is not the most critical step that directly affects the success and safety of the cardioversion itself.
C. Select a monitor lead with a tall R wave.
Selecting a monitor lead with a tall R wave helps in accurately synchronizing the cardioversion shock with the R wave, but this is secondary to activating the synchronization mode which is critical to avoid delivering a shock during the vulnerable period of the cardiac cycle.
D. Activate the synchronization mode.
This is the correct answer. The most important action before deploying the current for cardioversion is to ensure the defibrillator is in synchronization mode. Synchronization ensures that the electrical shock is delivered at the correct time during the cardiac cycle, specifically on the R wave of the QRS complex, to avoid inducing ventricular fibrillation. This is crucial for
patient safety.
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