Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is admitting a client to the emergency department after a gunshot wound to the abdomen.
Which of the following actions should the nurse take to help prevent the onset of acute kidney failure?
A. Administer IV fluids to the client.
Administering IV fluids can help maintain blood flow to the kidneys and prevent acute kidney failure.
B. Insert a urinary catheter.
Choice B is incorrect because inserting a urinary catheter does not prevent acute kidney failure.
C. Prepare the client for an intravenous pyelogram.
Choice C is incorrect because an intravenous pyelogram is a diagnostic test and does not prevent acute kidney failure.
D. Initiate beta-blocker therapy.
Choice D is incorrect because beta-blocker therapy is not used to prevent acute kidney failure.
This question is an excerpt from Nurse Dive's nursing test bank - ATI Adult Medical Surgical 2019 Proctored Exam. Take the full exam now
Full Explanation
Administering IV fluids can help maintain blood flow to the kidneys and prevent acute kidney failure.
Choice B is incorrect because inserting a urinary catheter does not prevent acute kidney failure.
Choice C is incorrect because an intravenous pyelogram is a diagnostic test and does not prevent acute kidney failure.
Choice D is incorrect because beta-blocker therapy is not used to prevent acute kidney failure.
Similar Questions
A nurse is providing teaching to a client who has a deep-vein thrombosis (DVT).
Which of the following findings should the nurse identify as a risk factor for developing DVTS?
A. Oral contraceptive use.
Oral contraceptive use is a risk factor for the development of DVTs.
B. Cirrhosis.
Choice B is incorrect because cirrhosis is not a known risk factor for DVTs.
C. Hypertension.
Choice C is incorrect because hypertension is not a known risk factor for DVTs.
D. NSAID use.
Choice D is incorrect because NSAID use is not a known risk factor for DVTs.
Full Explanation
Oral contraceptive use is a risk factor for the development of DVTs.
Choice B is incorrect because cirrhosis is not a known risk factor for DVTs.
Choice C is incorrect because hypertension is not a known risk factor for DVTs.
Choice D is incorrect because NSAID use is not a known risk factor for DVTs.
A nurse on an oncology unit is caring for a client who is receiving internal radiation therapy.
Which of the following actions should the nurse take?
A. Allow visitors to hold the client's hand.
Choice A is incorrect because visitors may need to limit their contact with the client and follow specific safety precautions.
B. Place the dosimeter film badge on the client's door.
Choice B is incorrect because a dosimeter film badge is worn by the nurse to measure radiation exposure, not placed on the client’s door.
C. Wear a lead apron when providing client care.
Wearing a lead apron can help protect the nurse from radiation exposure while providing care to a client receiving internal radiation therapy.
D. Leave the door to the client's room open.
Choice D is incorrect because the door to the client’s room may need to be kept closed as a safety precaution 2.
Full Explanation
Wearing a lead apron can help protect the nurse from radiation exposure while providing care to a client receiving internal radiation therapy.
Choice A is incorrect because visitors may need to limit their contact with the client and follow specific safety precautions.
Choice B is incorrect because a dosimeter film badge is worn by the nurse to measure radiation exposure, not placed on the client’s door.
Choice D is incorrect because the door to the client’s room may need to be kept closed as a safety precaution 2.
A nurse is planning care for a client who has a central venous access device for intermittent infusions.
Which of the following actions should the nurse include in the plan of care?
A. Use an aseptic technique when changing the dressing.
The aseptic technique is important to prevent infection when changing the dressing of a central venous access device.
B. Cleanse the site with povidone-iodine.
Choice B is not correct because povidone-iodine is not always the recommended cleansing agent for central venous access devices.
C. Flush the catheter using a 10-mL syringe.
Choice C is not correct because a 10-mL syringe may generate too much pressure and damage the catheter.
D. Change the dressing every 24 hours.
Choice D is not correct because the dressing does not always need to be changed every 24 hours; the frequency of dressing changes depends on the type of dressing and the condition of the site.
Full Explanation
The aseptic technique is important to prevent infection when changing the dressing of a central venous access device.
Choice B is not correct because povidone-iodine is not always the recommended cleansing agent for central venous access devices.
Choice C is not correct because a 10-mL syringe may generate too much pressure and damage the catheter.
Choice D is not correct because the dressing does not always need to be changed every 24 hours; the frequency of dressing changes depends on the type of dressing and the condition of the site.