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Extract:

Priority nursing diagnosis on the patient who was admitted with acute renal failure


Question 1 of 5

Priority nursing diagnosis on the patient who was admitted with acute renal failure would be:

Correct Answer: C

Rationale: Fatigue due to altered nutrition is a priority in acute renal failure as it reflects metabolic imbalances and nutritional deficits.

Extract:


Question 2 of 5

The nurse is performing an assessment of the motor function in a client with a head injury. The best technique is

Correct Answer: D

Rationale: rubbing the sternum. The purpose is to assess the non-responsive client's reaction to a painful stimulus after less noxious methods have been tried.

Question 3 of 5

Which of the following clients is at greatest risk for postpartal hemorrhage?

Correct Answer: D

Rationale: A gravida 4 para 3 with a Caesarean section is at higher risk for postpartal hemorrhage due to multiparity and surgical delivery, which can lead to uterine atony and increased bleeding risk.

Extract:

The nurse understands that an acute attack of pancreatitis can be precipitated by heavy drinking because:


Question 4 of 5

The nurse understands that an acute attack of pancreatitis can be precipitated by heavy drinking because:

Correct Answer: D

Rationale: Alcohol causes enzyme backflow, leading to pancreatic autodigestion.

Extract:


Question 5 of 5

The wife of a man who is comatose following a head injury asks the nurse if she should visit him since he is unresponsive. How should the nurse reply initially?

Correct Answer: C

Rationale: Presence of loved ones may provide comfort and stimulate awareness in comatose patients, supporting family involvement. Other responses discourage visitation.

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