Mr. Anderson is a 50-year-old male client who presented to t... | NCLEX PN-Practice Exam-1

Practice Question

Mr. Anderson is a 50-year-old male client who presented to the emergency department (ED) at 0615 with intermittent cramping abdominal pain, abdominal bloating, and nausea and vomiting for the past 3 days. He denies constipation or diarrhea. He completed his second cycle of chemotherapy infusion last week for a newly diagnosed stage III gastric cancer.

Answer Choices:

Rationale:

🩸Contrast media are nephrotoxic, directly injuring renal tubules and reducing perfusion, leading to AKI.

🚰A large‐volume saline bolus increases intravascular volume and can overload cardiac output, predisposing to pleural effusion.

🚫NPO status causes dehydration and decreased renal blood flow, which is a primary driver of prerenal AKI.

💊Chemotherapy agents can be nephrotoxic and also cause capillary leak syndrome, contributing to both AKI and pleural effusion.

🤢Vomiting leads to ongoing fluid losses and electrolyte disturbances that can precipitate AKI.

📌Core Message

Factors that reduce renal perfusion or are nephrotoxic primarily contribute to acute kidney injury, whereas interventions or conditions that increase intravascular volume predispose to pleural effusion.

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A nurse is collecting data on a client who is admitted to the inpatient mental health unit. The client is complaining of sleep disturbances, feelings of helplessness, and a loss of appetite. The nurse recognizes these symptoms to be indicative of

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A. anxiety.

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Mr. Anderson is a 50-year-old male client who presented to the emergency department (ED) at 0615 with intermittent cramping abdominal pain, abdominal bloating, and nausea and vomiting for the past 3 days. He denies constipation or diarrhea. He completed his second cycle of chemotherapy infusion last week for a newly diagnosed stage III gastric cancer. Mr. Anderson's maintenance intravenous fluid was started at 0930. The practical nurse checks the fluid level at 1100. How much IV fluid did Mr. Anderson receive during that time?

Answer Choices:

A. 200 mL

B. 225 mL

C. 250 mL

D. 275 mL

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Mr. Anderson is a 50-year-old male client who presented to the emergency department (ED) at 0615 with intermittent cramping abdominal pain, abdominal bloating, and nausea and vomiting for the past 3 days. He denies constipation or diarrhea. He completed his second cycle of chemotherapy infusion last week for a newly diagnosed stage III gastric cancer. Which of the following interventions does the nurse anticipate performing? Select all that apply.

Answer Choices:

A. Irrigate the client's NG tube.

B. Perform a bladder scan

C. Administer furosemide.

D. Increase IV fluid rate.

E. Change the wall suction setting to high.

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Mr. Anderson is a 50-year-old male client who presented to the emergency department (ED) at 0615 with intermittent cramping abdominal pain, abdominal bloating, and nausea and vomiting for the past 3 days. He denies constipation or diarrhea. He completed his second cycle of chemotherapy infusion last week for a newly diagnosed stage III gastric cancer. The nurse notifies the physician of Mr. Anderson's oliguria, and new orders are placed. At 1530, Mr. Anderson still has no further urine output. A bladder scan shows approximately 50 mL of urine in the bladder. Based on Mr. Anderson's updated profile, which medications does the nurse anticipate administering? Select all that apply.

Answer Choices:

A. Magnesium sulfate

B. Potassium chloride

C. Spironolactone

D. Calcium gluconate

E. Ibuprofen

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Mr. Anderson is a 50-year-old male client who presented to the emergency department (ED) at 0615 with intermittent cramping abdominal pain, abdominal bloating, and nausea and vomiting for the past 3 days. He denies constipation or diarrhea. He completed his second cycle of chemotherapy infusion last week for a newly diagnosed stage III gastric cancer. Due to Mr. Anderson's acute kidney injury (AKI), he received an additional bolus of 1 liter intravenous 0.9% sodium chloride over 1 hour. Upon completion of the infusion, he complains of shortness of breath and an intermittent productive cough. Based on Mr. Anderson's recent vital signs, which of the following interventions does the nurse expect to see in his care plan? Select all that apply.

Answer Choices:

A. Apply oxygen via nasal cannula.

B. Obtain a chest x-ray.

C. Reduce furosemide dose.

D. Prepare the client for a renal biopsy.

E. Arrange a thoracentesis

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NCLEX PN-Practice Exam-1

130 Questions

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Category: NCLEX PN
Subcategory: NCLEX-PN Practice Exams
Domain: NCLEX-PN (Practice Exams)
Answer Choices: 0

Rhenis Nursing

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A nurse is collecting data on a client who is admitted to the inpatient mental health unit. The client is complaining of sleep disturbances, feelings of helplessness, and a loss of appetite. The nurse recognizes these symptoms to be indicative of

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NCLEX PN-Practice Exam-1

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