A client develops ventilator-associated pneumonia and sepsis 72 hours after surgery while in the ICU. The serum creatinine rises to 5.2 mg/dL and urine output is 10 mL/hr. Which RIFLE stage of acute kidney injury does this scenario represent?
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A client undergoing chemotherapy presents to the clinic with…
A client undergoing chemotherapy presents to the clinic with a temperature of 100.5°F (38.1°C), an ANC of 450/uL, and reports a sore throat. What is the nurse’s priority action?
A nurse is reviewing laboratory results for a 78-year-old cl…
A nurse is reviewing laboratory results for a 78-year-old client with unexplained anemia. Which findings are consistent with age-related hematologic changes? Select all that apply.
A client with venous leg ulcers asks about dietary recommend…
A client with venous leg ulcers asks about dietary recommendations for wound healing. Which nutrients are essential to promote healing?
A nurse is providing education to a client recently diagnose…
A nurse is providing education to a client recently diagnosed with primary hypertension about effective home management strategies. Which of the following teaching points should the nurse include? Select all that apply.
A nurse is reviewing contributing factors for a patient with…
A nurse is reviewing contributing factors for a patient with primary hypertension. Which findings should the nurse identify as mechanisms that increase the patient’s risk for persistent hypertension? Select all that apply.
A nurse is assessing a client who sustained a spinal cord in…
A nurse is assessing a client who sustained a spinal cord injury at the thoracic level. The client reports decreased bowel movements and abdominal bloating. Which physiologic mechanism best explains this finding?
A client with hypovolemic shock has a urine output of 20 mL/…
A client with hypovolemic shock has a urine output of 20 mL/hr. What action should the nurse prioritize?
A nurse is teaching a client newly enrolled in a weight mana…
A nurse is teaching a client newly enrolled in a weight management program about strategies to enhance weight loss and prevent regain. Which statements by the client indicate appropriate understanding? Select all that apply.
A client underwent a transurethral resection of a bladder tu…
A client underwent a transurethral resection of a bladder tumor (TURBT) for early-stage bladder cancer. On postoperative day 1, the nurse notes the client’s urine is bright red with clots. Which action is the priority?