ASSESS Improving scores and building confidence with NCLEX ® -style questions Quizzing assignments provide the additional practice students need to improve their scores on classroom and certification exams. Questions cover the same topics and concepts as the textbook to assess students’ comprehension of course material.
Bowtie and trend questions prepare students for the individual, stand-alone item types on the Next-Gen NCLEX®.
High-quality, NCLEX-style questions challenge students to think critically and test their knowledge.
The nurse is caring for a 52-year-old client coming to the emergency department with peripheral edema, periorbital edema, flank pain, and shortness of breath. The nurse is preparing to notify the provider of the client’s status. Complete the below using the dropdown choices.
MEDS2-RDC-16
Renal Disorders
Vital Signs
Clinical Judgment, Elimination, Fluid and Electrolytes, Oxygenation Perfusion
antihypertensive
Evaluation [Evaluating]
Chapter 62: Coordinating Care for Patients with Renal Disorders
Vital Signs
pp. 1452-1459
antihypertensive
Rationale: The client is demonstrating signs of acute kidney injury, oliguric phase. This is identified by low urine output, edema, shortness of breath, hypertension, hyperkalemia, elevated BUN/creatinine, anemia, and hyponatremia. It is anticipated that this client has a compromised GFR due to risk factors of poorly controlled diabetes and reoccurring UTIs. The risks for developing acute kidney injury include infection and medications. Fever, elevated WBCs, flank pain are signs of a kidney infection, and extended to excessive use of NSAIDS will impair kidney function, leading to injury. In evaluating the client data, the nurse should be most concerned about the changing vital signs, including a rising temperature, heart rate, respiratory rate, and blood pressure, as the SpO2 decreases. This indicates a deterioration of oxygenation and perfusion. Priority medical management is the delivery of oxygen and an antihypertensive to prevent tissue hypoxia and stroke. The nurse should also notify the provider about the hyperkalemia, hyperglycemia, anemia, renal impairment shown in the lab results, and the assessment findings of oliguria, edema, crackles, and bounding pulses.
9/11/2024
Navigate the EHR trends by looking at how the cues presented relate to each other. Make the connection between the information to reach priority conclusions.
9/25/2024
Immediate Feedback with comprehensive rationales provides students with on-the-spot remediation that explains why their responses are correct or incorrect. Page-specific references direct them to relevant content in their text, while Test-Taking Tips improve exam skills.
Students can easily create their own practice quizzes to focus on the topic areas where they are struggling or to use as a study tool to prepare for an upcoming exam.
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