The nurse recognizes the need for client education when the client scheduled for a computed tomography (CT) states:

"I will be drinking a lot of fluid after the test is over."

"I will be anesthetized so that I lie perfectly still during the procedure."

"I will make sure I let them know I do not have a shellfish ally."

"will follow the food and drink restrictions as directed before the test is scheduled."

Answer and Explanation

The Correct Answer is B

A.   This statement suggests that the client may not understand the purpose or procedure of the CT scan. CT scans typically do not require the client to drink excessive fluids afterward. However, hydration might be encouraged if contrast dye was used to help eliminate it from the body. Education is needed to clarify post-procedure instructions.
B.   This statement indicates a misconception about the procedure. CT scans do not usually require anesthesia unless it's a complex situation, such as a young child or someone with severe claustrophobia. It's essential to educate the client about what to expect during the CT scan to reduce anxiety and ensure cooperation during the procedure.
C.   This statement shows awareness of potential allergies to contrast dye, which often contains iodine. It indicates that the client understands the importance of disclosing allergies to the healthcare team before the procedure. While this is generally a positive sign of awareness, further education may still be needed to ensure complete understanding of allergy management.
D.   This statement demonstrates understanding of pre-procedure instructions, which often include fasting or specific dietary restrictions. It suggests that the client understands the importance of these restrictions to ensure accurate test results and safety during the CT scan.

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Correct Answer is A

Explanation

A. Furosemide can increase serum uric acid levels, leading to hyperuricemia. This occurs due to the drug's effects on renal excretion of uric acid. Hyperuricemia can predispose the client to gouty arthritis or kidney stones.
B. Furosemide typically leads to sodium loss (natriuresis) rather than hypernatremia. It is a loop diuretic that inhibits sodium and chloride reabsorption in the ascending loop of Henle in the kidneys, promoting diuresis and reducing fluid overload.
C. Furosemide-induced diuresis can cause loss of chloride ions along with sodium, potentially leading to hypochloremia rather than hyperchloremia. Hyperchloremia is less common unless there are other contributing factors such as concurrent administration of saline solutions or underlying conditions.
D. Furosemide does not typically cause hypercalcemia. In fact, it can lead to mild hypocalcemia due to increased urinary calcium excretion. Loop diuretics like furosemide impair calcium reabsorption in the kidneys, which can lead to calcium wasting.

A. Hypophosphatemia B. Hypernatremia C. Hypercalcemia D. Hyperkalemia

Correct Answer is D

Explanation

A. Hypophosphatemia refers to low levels of phosphate in the blood. In prerenal AKI, phosphate levels are typically normal or even elevated due to reduced kidney function and impaired phosphate excretion. Therefore, hypophosphatemia is not expected in prerenal AKI.
B. Hypernatremia refers to high levels of sodium in the blood. In prerenal AKI, sodium levels can be elevated due to reduced kidney function and impaired ability to excrete sodium. This occurs because the kidneys play a crucial role in regulating sodium balance. Therefore, hypernatremia is a possible electrolyte imbalance in prerenal AKI.
C. Hypercalcemia refers to high levels of calcium in the blood. In prerenal AKI, calcium levels are usually normal or decreased due to various factors, including reduced renal excretion of calcium. Therefore, hypercalcemia is not typically seen in prerenal AKI.
D. Hyperkalemia refers to high levels of potassium in the blood. In prerenal AKI, hyperkalemia is a common electrolyte imbalance. Normally, the kidneys play a critical role in potassium excretion. Reduced kidney function in prerenal AKI can lead to impaired potassium excretion, resulting in elevated potassium levels in the blood.

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The nurse recognizes the need for client education when the client scheduled for a computed tomography (CT) states:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has heart failure and is receiving IV furosemide. The nurse should monitor the client for which of the following electrolyte imbalances?

Correct Answer is A

Explanation

A nurse is reviewing the laboratory test results from a client who has prerenal acute kidney injury (AKI). Which of the following electrolyte imbalances should the nurse expect?

Correct Answer is D

Explanation

A nurse is caring for a client who had IV fluids initiated at 0330. The IV fluids are infusing at 120 mL/hr. The nurse should record how many mL of IV fluids on the intake record at 0600?

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