The nurse evaluates her teaching as effective when the patient recovering from acute renal failure states that he will do which of the following?
Consume only vegetable proteins
Limit his fluid intake to 1500 mL or less per day
Avoid taking drugs that may be nephrotoxic
Self-catheterize for residual urine at least once a week
The Correct Answer is C
Choice A reason (acute renal failure): Patients recovering from acute renal failure are not typically restricted to only vegetable proteins. Protein needs can vary based on the individual's condition and treatment plan.
Choice B reason (acute renal failure): Fluid intake recommendations for patients recovering from acute renal failure depend on their current kidney function and fluid balance status. A blanket restriction to 1500 mL or less per day may not be appropriate for all patients.
Choice C reason (acute renal failure): Avoiding nephrotoxic drugs is crucial for patients recovering from acute renal failure to prevent further kidney damage.
Choice D reason (acute renal failure): Self-catheterization for residual urine is not a standard recommendation for all patients recovering from acute renal failure. This would be specific to patients with urinary retention issues.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Systolic Blood Pressure is not a direct measure of preload; it indicates the pressure in the arteries during the contraction of the heart muscles.
Choice B reason: Mean Arterial Blood Pressure is an average blood pressure in an individual during a single cardiac cycle, but it does not specifically measure preload.
Choice C reason: Central Venous Pressure (CVP) is a direct measure of the blood volume returning to the heart and the ability of the heart to pump the blood into the arterial system, making it a key indicator of preload.
Choice D reason: Systemic Vascular Resistance refers to the resistance to blood flow offered by all of the systemic vasculature, excluding the pulmonary vasculature, and is not a measure of preload.
Correct Answer is A
Explanation
The correct answer is Choice A
Choice A rationale: Movement of the trachea toward the unaffected side indicates a possible tension pneumothorax, which is a life-threatening condition. This shift occurs due to the increased pressure on the affected side, pushing the trachea away. Immediate intervention is required.
Choice B rationale: Crepitus, or subcutaneous emphysema, can be a common finding around the chest tube insertion site. It indicates air leakage into the subcutaneous tissue but does not necessarily require immediate notification to the provider unless it is extensive or worsening.
Choice C rationale: Bubbling of the water in the water seal chamber with exhalation is expected and indicates that the chest tube is functioning properly by allowing air to escape from the pleural space. This is a normal finding in pneumothorax management.
Choice D rationale: The visibility of eyelets on the chest tube indicates that the tube is in the correct position within the pleural space. If the eyelets are not visible, it means the tube is not functioning correctly, but this is not as urgent as a tracheal shift.
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