NCLEX-RN
Urinary Elimination NCLEX RN Questions Questions
Question 1 of 5
The nurse reviews the lab values of a client and notes a serum sodium level of 125 mEq/L (mmol/L) [Reference range: 135-145 mEq/L (mmol/L)]. Which conditions does the nurse recognize as potential causes of this laboratory abnormality? Select all that apply.
Correct Answer: A,C,D
Rationale: SIADH causes water retention, diluting sodium. Addison's disease reduces aldosterone, leading to sodium loss. Psychogenic polydipsia causes excessive water intake, diluting sodium.
Question 2 of 5
The nurse is caring for a client on a medical floor. The nurse would recognize that which diagnosis increases the client's risk of developing hyperkalemia?
Correct Answer: B
Rationale: Acute renal failure impairs potassium excretion, leading to hyperkalemia.
Question 3 of 5
The nurse is reviewing labs for a client with a serum potassium level of 3.3 mEq/L (mmol/L) [3.5-5 mEq/L, mmol/L]. The nurse should take which essential action based on this laboratory result?
Correct Answer: A
Rationale: Hypokalemia (low potassium) requires dietary education to increase potassium intake, as it does not typically necessitate telemetry or calcium.
Question 4 of 5
The nurse is reviewing the laboratory results of a client with renal failure. Which laboratory data requires immediate follow-up?
Correct Answer: B
Rationale: Hyperkalemia (6 mEq/L) requires immediate follow-up due to the risk of cardiac dysrhythmias.
Question 5 of 5
The client is diagnosed with acute kidney failure. Which of the following is an appropriate psychosocial problem for the nurse to include in the care plan?
Correct Answer: B
Rationale: Anxiety is a psychosocial issue related to the uncertainty and stress of acute kidney failure, unlike the other physiological options.