ATI RENAL + URINARY SYSTEM PRACTICE EXAM 2024 WITH 100% CORRECT ANSWERS

A nurse is caring for a client who is in the oliguric-anuric stage of acute kidney injury. The client reports diarrhea, a dull headache, palpitations, and muscle tingling and weakness. Which of the following actions should the nurse take first? A. Administer an analgesic to the client B. Check the client's electrolyte values C. Measure the client's weight D. Restrict the client's protein intake - correct answer Correct Answer: B. Check the client's electrolyte values The nurse should apply the urgent versus nonurgent priority-setting framework when caring for the client. Using this framework, the nurse should consider urgent needs to be the priority because they pose a greater threat to the client. The nurse might also need to use Maslow's hierarchy of needs, the ABC priority-setting framework, and/or nursing knowledge to identify which finding is the most urgent. The nurse should check the client's most recent potassium value because these findings are manifestations of hyperkalemia, which can lead to cardiac dysrhythmias. Incorrect Answers:A. Administering an analgesic for a dull headache is important to manage the client's pain; however, there is another action that the nurse should take first. C. Measuring the client's weight is important to monitor the client's fluid balance; however, there is another action the nurse should take first. D. Restricting the client's protein intake is important to manage the client's acute kidney injury; however, there is another action the nurse should take first. A nurse is assessing a client who has urolithiasis and reports pain in his thigh. This finding indicates the stone is in which of the following structures? A. Ureter B.