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Prioritizing
100

You are working in a medical-surgical unit. Four clients require attention. Based on your knowledge of nephritis, which client should you assess first?

  1. A 28-year-old with acute glomerulonephritis, complaining of sudden periorbital edema and dark-colored urine.
  2. A 55-year-old with chronic kidney disease related to nephritis, whose morning potassium level is 6.2 mEq/L but denies any symptoms.
  3. A 40-year-old post-op client with a urinary catheter draining pink-tinged urine after kidney biopsy.
  4. A 72-year-old client with nephrotic syndrome experiencing fatigue and mild lower extremity swelling but is hemodynamically stable.

What is a 55-year-old with chronic kidney disease related to nephritis, whose morning potassium level is 6.2 mEq/L but denies any symptoms. 

200

A nurse is managing four clients with inflammatory bowel disease (IBD). Who should be assessed first?

  1. A 33-year-old with Crohn’s disease who has had 5 loose stools today but denies abdominal pain.
  2. A 47-year-old with ulcerative colitis who reports bloody diarrhea 6 times today and new-onset dizziness.
  3. A 25-year-old with Crohn’s disease who has fistula drainage of 50mL from an enterocutaneous fistula.
  4. A 52-year-old with ulcerative colitis who reports urgency and abdominal cramping with bowel movements.

What is a 47-year-old with ulcerative colitis who reports bloody diarrhea 6 times today and new-onset dizziness