The nurse realizes that which clients are at risk for intra-renal injury? (Select all that apply)

A client with congestive heart failure

A client taking vancomycin

A client with glomerulonephritis

A client with bladder cancer

A client with a traumatic injury directly onto the kidney

Answer and Explanation

Correct Answer : B,C,E

Choice A reason: Congestive heart failure can lead to prerenal injury due to decreased renal perfusion, but it is not a direct cause of intrarenal injury.

Choice B reason: Vancomycin is a nephrotoxic medication that can cause intrarenal injury. The drug can directly damage the renal tubules, leading to acute kidney injury.

Choice C reason: Glomerulonephritis involves inflammation of the glomeruli, which is a direct cause of intrarenal injury. This condition affects the kidney's filtering units, leading to impaired renal function.

Choice D reason: Bladder cancer is more associated with postrenal injury due to obstruction of urine flow, rather than intrarenal injury.

Choice E reason: A traumatic injury directly onto the kidney can cause damage to the renal tissue, leading to intrarenal injury. This type of injury affects the kidney itself and can result in acute kidney injury.

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Correct Answer is D

Explanation

Choice A reason: Telling the client they will not need any special treatment after surgery is inaccurate. Bilateral adrenalectomy results in the removal of both adrenal glands, which produce essential hormones.

Choice B reason: Chemotherapy is not a standard post-surgical treatment for an adrenalectomy unless there is a specific indication. This statement may cause unnecessary concern for the client.

Choice C reason: An abdominal binder is not typically required after a bilateral adrenalectomy. This information is not relevant to the client's post-surgical needs.

Choice D reason: After a bilateral adrenalectomy, the client will need daily hormone replacement medications for life, as the adrenal glands are responsible for producing essential hormones like cortisol and aldosterone

A. Hyperopia. B. Photophobia. C. Myopia. D. Accommodation.

Correct Answer is D

Explanation

Choice A reason: Hyperopia, also known as farsightedness, is a condition where distant objects can be seen more clearly than near objects. It is caused by the eyeball being too short or the cornea having too little curvature. In this scenario, the client's ability to adjust and focus on near and distant objects is not indicative of hyperopia.

Choice B reason: Photophobia is an increased sensitivity to light. It can be caused by various eye conditions, infections, or even migraines. The client's ability to focus on objects at different distances does not correlate with sensitivity to light.

Choice C reason: Myopia, or nearsightedness, is the opposite of hyperopia. Individuals with myopia can see near objects clearly but have difficulty focusing on distant objects. The client's ability to focus on both near and far objects rules out myopia.

Choice D reason: Accommodation is the process by which the eye adjusts its focus from near to distant objects (or vice versa). This involves changes in the shape of the lens, controlled by the ciliary muscles. The client's ability to focus on objects at varying distances correctly describes the accommodation process, making it the appropriate answer.

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The nurse realizes that which clients are at risk for intra-renal injury? (Select all that apply)

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Naxlex Comprehensive Predictor Exams

The nurse is caring for a client scheduled for a bilateral adrenalectomy for treatment of an adrenal tumor. What information should the nurse give the client about the post-surgical needs?

Correct Answer is D

Explanation

The nurse is assessing a client's eyes and notes that when the client looks at a near object, the pupil constricts, but when the client looks at an object in the distance, the pupil dilates. The nurse should identify this finding as which condition?

Correct Answer is D

Explanation

The nurse realizes that which clients are at risk for intra-renal injury? (Select all that apply)

During an emergency code situation, a primary healthcare provider about to defibrillate a client diagnosed with ventricular fibrillation says in a loud voice, "CLEAR!" Which action should the nurse implement immediately?

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