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 B

Explanation

A likely cause of a low sodium level (hyponatremia) of 128 mEq/L is the administration of hypotonic IV fluids. Hypotonic IV fluids have a lower concentration of solutes compared to the body's fluids, which can lead to dilutional hyponatremia. When these fluids are administered, they can cause water to move into the cells, diluting the sodium concentration in the bloodstream.

A. "Have additional receptors in the colon that prevents transfer of the disease to others” B. "Do not have blood pressures within normal limits when the small bowel encounters salt products." C. "Have an increased risk of aspiration with the additional mucus produced in the small bowel” D. "Do not have proper absorption of nutrients when the small bowel encounters the protein gluten.”

Correct Answer is D

Explanation

Celiac disease is an autoimmune disorder characterized by an abnormal immune response to gluten, a protein found in wheat, barley, and rye. When individuals with celiac disease consume gluten, their immune system reacts by damaging the lining of the small intestine, specifically the villi. The damaged villi are unable to effectively absorb nutrients from food, leading to malabsorption and a variety of symptoms.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is B

Explanation

A student nurse correctly explains the pathophysiology of celiac when it is stated that patients who have celiac disease:

Correct Answer is D

Explanation

A patient with sepsis has a BP of 70/46 mm Hg, pulse of 136 beats/min, respirations of 32 breaths/min, temperature of 104°F, and blood glucose of 245 mg/dL. Which intervention ordered by the health care provider should the nurse implement first?

The initial bundle of care in sepsis includes which of the following? (Select all that apply.)

Which information obtained by the nurse about a patient who has been taking prednisone 40 mg daily for 3 weeks is most important to report to the health care provider?

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The nurse will plan to teach a patient who has pernicious anemia about the need for:

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