1. The nurse is caring for a

1. The nurse is caring for a client who has been admitted to the hospital with acute kidney injury ( AKI) What data from the admission assessment indicates risk factors for AKI? SATA a. Atrial fibrillation b. Ages 69 c. Weight 95 kg d. Blood pressure 152/94 e. Dehydration 2. The nurse is caring for a client being mechanically ventilated. When the high-pressure alarm sounds, with no obvious cause, what is the priority intervention? a. Reset the ventilator, initiating back up mode b. Call the respiratory therapist c. Increase the oxygen to 100% d. Manually ventilate the client with the ambu-bag 3. The nurse is caring for a client who is complaining of chest pain after a motor vehicle collision. What finding could cause the most concern? a. Left clavicle pain with a large abrasion b. Pain with palpitation over ribs 4-5 c. A large bruised area on the chest d. The ribs do not appear to be moving together 4. The nurse is caring for a client with a chest tube. When the client reports increasing shortness of breath. What is the priority action? a. Check the suction setting on the pleur-evac b. Connect the chest tube to a new pleur-evac c. Check for occlusions in the tubing d. Assess the amount of drainage in the drainage changer 5. The client reports headache, nausea, confusion, and muscle twitching after hemodialysis. What is most likely the cause of these symptoms? a. More rapid removal of solutes than fluid b. Excessive removal of sodium bicarbonate c. More rapid removal of fluid than solutes d. Excessive removal of fluid 6. A client involved in a motor vehicle accident 36 hours ago. The nurse caring for this client plans frequent assessments to monitor for what high-risk complications? a. Perforated gastric ulcer and nausea b. Pericarditis c. Wound infection d. Acute respiratory distress syndrome (ARDS) 7. The nurse is planning care for a client with acute kidney injury ( aki), who has a potassium of 8 meq/l . What intervention will facilitate an immediate decrease in serum potassium? a. Sodium polystyrene sulfonate (kayexalate) 15 mg PO b. Regular insulin 10 units IV bolus c. Calcium gluconate 2 gm IV bolus d. Sodium chloride 500 ml IV bolus

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