The nurse is admitting a client diagnosed with acute renal failure (ARF). The nursing assessment will prioritize ...

Urine output and electrolyte levels.

Understanding of how to prevent falls.

Peripheral vascular perfusion and pain.

Risk for bleeding and white blood cell count (WBC)

Answer and Explanation

The Correct Answer is A

Acute renal failure is characterized by a sudden decline in kidney function, resulting in the inability of the kidneys to adequately filter waste products and maintain fluid and electrolyte balance. Monitoring urine output is essential in assessing kidney function and determining the severity of renal failure. A decrease in urine output or anuria may indicate worsening renal function and the need for immediate interventions.

Assessing electrolyte levels, such as sodium, potassium, calcium, and phosphorus, is crucial because renal failure can disrupt the balance of these electrolytes in the body. Imbalances can lead to complications such as electrolyte abnormalities, cardiac dysrhythmias, and neuromuscular disturbances. Prompt identification and management of electrolyte imbalances are essential in preventing further complications and supporting optimal patient outcomes.

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Correct Answer is D

Explanation

Fat embolism syndrome can occur when fat globules enter the bloodstream after a long bone fracture, such as a femur fracture. The fat globules can travel to the lungs and cause respiratory distress and decreased oxygen saturation. The symptoms observed in the client, including tachypnea (labored breathing), decreased oxygen saturation (88%), and the presence of petechiae (small red or purple spots) on the neck and anterior chest, are consistent with fat embolism syndrome.

Fat embolism syndrome is a serious condition that requires immediate medical attention. Notifying the healthcare provider allows for prompt evaluation, confirmation of the diagnosis, and initiation of appropriate treatment. This may involve further diagnostic tests such as a chest CT scan, as mentioned in one of the options, to rule out other potential causes or complications.

A. The patient uses crutches with a swing-to gait. B. The patient sits straight up on the edge of the bed. C. the patient bends over the sink while brushing teeth. D. The patient leans forward to pull on shoes and socks

Correct Answer is C

Explanation

The patient bending over the sink while brushing teeth requires intervention by the nurse. After hip arthroplasty using the posterior approach, the patient should avoid bending at the hip greater than 90 degrees to prevent dislocation of the prosthesis. The nurse should instruct the patient to bend at the knees instead of the hips while brushing teeth or doing any other activity that requires bending. The other actions mentioned in the options are appropriate for a patient after hip arthroplasty.

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The nurse is admitting a client diagnosed with acute renal failure (ARF). The nursing assessment will prioritize ...

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Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

A patient is being discharged 4 days after hip arthroplasty using the posterior approach. Which patient action requires intervention by the nurse?

Correct Answer is C

Explanation

A client's Sodium level is 128 meq/L. The nurse knows that a likely cause of this lab finding is:

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The nurse is admitting a client diagnosed with acute renal failure (ARF). The nursing assessment will prioritize ...

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