a nurse is assessing a client who has chronic kidney disease which of the following findings should the nurse report to the provider

ATI RN

ATI RN Exit Exam Test Bank

1. A healthcare professional is assessing a client who has chronic kidney disease. Which of the following findings should the healthcare professional report to the provider?

A. Urine output of 80 mL/hr
B. Blood pressure of 140/90 mm Hg
C. Serum creatinine 2.8 mg/dL
D. Heart rate of 72/min

Correct answer: C

Rationale: The correct answer is C. A serum creatinine level of 2.8 mg/dL indicates impaired kidney function and should be reported to the healthcare provider. Elevated serum creatinine levels are indicative of decreased kidney function and potential progression of chronic kidney disease. Choices A, B, and D are within normal ranges and do not signify immediate concerns related to kidney disease. Urine output of 80 mL/hr is appropriate, a blood pressure of 140/90 mm Hg is considered prehypertensive but not acutely concerning, and a heart rate of 72/min falls within the normal range.

2. Which lab value should be monitored for a patient on warfarin therapy?

A. Monitor INR
B. Monitor potassium levels
C. Monitor platelet count
D. Monitor sodium levels

Correct answer: A

Rationale: The correct answer is to monitor INR for a patient on warfarin therapy. INR monitoring is crucial as it helps assess the therapeutic effectiveness and safety of warfarin. INR stands for International Normalized Ratio, and it measures the blood's ability to clot. Monitoring potassium levels (Choice B) is not specific to warfarin therapy. Monitoring platelet count (Choice C) is important but not the primary lab value for assessing warfarin therapy. Monitoring sodium levels (Choice D) is not directly related to warfarin therapy.

3. A nurse is preparing to perform a bladder scan for a client who has overflow incontinence. Which of the following actions should the nurse take?

A. Place the client in a supine position.
B. Obtain a prescription for insertion of an indwelling catheter.
C. Cleanse the client's abdomen with an antiseptic solution.
D. Prepare the client for urinary catheterization.

Correct answer: D

Rationale: The correct answer is to prepare the client for urinary catheterization. Overflow incontinence may indicate bladder distention, where a bladder scan helps assess the need for catheterization. Placing the client in a supine position (Choice A) is not directly related to the procedure. Obtaining a prescription for an indwelling catheter (Choice B) is not necessary before performing a bladder scan. Cleansing the client's abdomen with an antiseptic solution (Choice C) is not specific to preparing for a bladder scan in this situation.

4. A nurse is assessing a client who has Guillain-BarrÃ© syndrome. Which of the following findings should the nurse expect?

A. Increased urine output.
B. Hyperactive reflexes.
C. Hypoactive bowel sounds.
D. Facial weakness.

Correct answer: D

Rationale: Facial weakness is a common finding in clients with Guillain-BarrÃ© syndrome due to muscle weakness. While increased urine output is not typically associated with Guillain-BarrÃ© syndrome, hyperactive reflexes are more indicative of conditions like hyperthyroidism or spinal cord injury. Hypoactive bowel sounds are not a classic finding in Guillain-BarrÃ© syndrome, making it an incorrect choice.

5. What is the priority nursing action for a patient with shortness of breath?

A. Administer oxygen
B. Reposition the patient
C. Check oxygen saturation
D. Elevate the head of the bed

Correct answer: A

Rationale: Administering oxygen is the priority nursing action for a patient experiencing shortness of breath. Oxygen therapy aims to improve oxygenation levels quickly, addressing the underlying cause of the symptom. Repositioning the patient, checking oxygen saturation, and elevating the head of the bed are important interventions but administering oxygen takes precedence in this scenario to ensure adequate oxygen supply to the body.