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

Answer and Explanation

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.

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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. Recovery position, lateral with the upper leg ﬂexed and forward, and the upper hand across the chest with the back of the hand supporting the cheek. B. Prone position, to encourage maximum rest, thus decreasing respiratory and cardiac rates. C. Sitting up position (45 degrees or greater) to facilitate breathing and decrease venous return. D. Trendelenburg position, to drain blood from leg veins into the heart, i.e., the organic ﬂuid bolus.

Correct Answer is C

Explanation

Choice A reason: The recovery position is not typically recommended for patients with acute pulmonary edema as it does not facilitate optimal breathing.

Choice B reason: The prone position is not generally recommended for acute pulmonary edema as it may not aid in improving oxygenation or breathing.

Choice C reason: The sitting up position, especially at an angle of 45 degrees or greater, is recommended for patients with acute pulmonary edema as it helps to facilitate breathing and decrease venous return to the heart.

Choice D reason: The Trendelenburg position is not recommended for acute pulmonary edema as it can increase the pressure in the chest and worsen breathing difficulties.

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

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Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is C

Explanation

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