A nurse is caring for a client who is in the oliguric phase of acute kidney injury. Which of the following actions should the nurse take? A.Provide a diet high in protein. B.Provide ibuprofen for retroperitoneal discomfort. C.Monitor intake and output hourly D.Encourage the client to consume at least 2 L of fluid daily The […]

A nurse is assessing a client in the oliguric phase of acute kidney injury. Which of the following findings should the nurse expect? A.Hypomagnesemia B.Hyperkalemia C.Decreased creatinine level D.Increased glomerular filtration rate (GFR) The correct answer and Explanation is : The correct answer is B. Hyperkalemia. Explanation In the oliguric phase of acute kidney injury

Which drug class is capable of dissolving blood clots? A.Salicylates. B.Antiplatelets. C.Anticoagulants. D.Thrombolytic agents. The correct answer and Explanation is : The correct answer is D. Thrombolytic agents. Explanation Thrombolytic agents, also known as “clot busters,” are a specific class of medications designed to dissolve blood clots that obstruct blood flow. These drugs work by

In caring for the woman with disseminated intravascular coagulation (DIC), which order should the nurse anticipate? A.Administration of steroids B.Administration of blood C.Restriction of intravascular fluids D.Preparation of the client for invasive hemodynamic monitoring The correct answer and Explanation is : In caring for a patient with disseminated intravascular coagulation (DIC), the nurse should anticipate

A nurse is caring for a client and observes that the client’s urine is dark amber, cloudy, and has an unpleasant odor. The nurse should recognize that these findings are associated with which of the following? A.Urinary tract infection B.Urinary retention C.Urinary incontinence. D.Urinary frequency The correct answer and Explanation is : The correct answer

A charge nurse is teaching a newly licensed nurse about fall prevention. Which of the following should the nurse include in the teaching? A.Provide under-bed lighting at night B.Lock the wheels on the bed C.Keep the bed in the high position D.Apply socks on clients when ambulating E.Place brakes on the clients’ wheelchairs The correct

A nurse is caring for a client who escapes anxiety-causing thoughts by ignoring their existence. The nurse should recognize this behavior as which of the following defense mechanisms? A DenialB SplittingC RepressionD Sublimation The correct answer and Explanation is : The correct answer is C: Repression. Explanation: Repression is a defense mechanism where an individual

A nurse is performing tracheostomy care for a client who has a chronic tracheostomy. Which of the following actions should the nurse take? A.Allow space for one finger to be placed under the tube ties. B.Apply suction pressure while inserting the catheter into the trachea. C.Suction the client for 20 seconds with each pass. D.Cleanse

A nurse is caring for a client who had abdominal surgery 24 hr ago. Which of the following actions is the nurse’s priority? A.Assess fluid intake every 24 hr. B.Ambulate three times a day. C.Assist with deep breathing and coughing. D.Monitor the incision site for findings of infection. The correct answer and Explanation is :

The nurse notices that a male client is particularly delusional one afternoon. He begins to pace the floor and appears to be losing control of himself. Which intervention is best for the nurse to implement? A.Use firmness and direct the client to sit for awhile. B.Suggest to the client that he take a walk. C.Move