A nurse is caring for a patient with chronic kidney disease (CKD). What is the priority action?

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Question 1 of 5

A nurse is caring for a patient with chronic kidney disease (CKD). What is the priority action?

Correct Answer: D

Rationale: The correct answer is D: Administer IV morphine. In CKD, pain management is crucial due to complications like uremic neuropathy. Morphine is a common analgesic used in CKD patients. Administering diuretics (A) can worsen kidney function. Administering IV fluids (B) may further stress the kidneys. Administering corticosteroids (C) can exacerbate fluid retention and electrolyte imbalances in CKD patients.

Question 2 of 5

A patient with a chronic cough is scheduled to have a bronchoscopy with biopsy. Which intervention will the nurse implement directly after the procedure?

Correct Answer: C

Rationale: Post-bronchoscopy, the patient must remain NPO until the gag reflex returns to prevent aspiration due to local anesthesia.

Question 3 of 5

Which statement by the patient indicates that teaching has been effective for a patient scheduled for radiation therapy of the larynx?

Correct Answer: A

Rationale: Radiation can cause dry mouth; carrying water helps manage this side effect, showing effective teaching.

Question 4 of 5

The health care provider writes an order for bacteriologic testing for a patient who has a positive tuberculosis skin test. Which action should the nurse take?

Correct Answer: C

Rationale: TB diagnosis requires sputum samples for AFB testing over 3 consecutive days to confirm active infection.

Question 5 of 5

The nurse is caring for a patient who has just had a thoracentesis. Which assessment information obtained by the nurse is a priority to communicate to the health care provider?

Correct Answer: A

Rationale: An O₂ saturation of 88% indicates hypoxemia, a potential complication post-thoracentesis requiring immediate attention.

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