ATI PN Fundamentals 2020 NGN Exam 1
ATI PN Fundamentals 2020 NGN Exam 1 ( 51 Questions)
A nurse is caring for a client who has chronic kidney disease. The nurse should identify that which of the following findings is the priority to report to the provider?
Client reports voiding three times during the night. Voiding three times during the night could be indicative of nocturia, a common symptom in chronic kidney disease due to decreased kidney function. While this symptom should be monitored and addressed, it is not the highest priority among the options provided. Nocturia is related to fluid balance and can be managed through dietary and medication adjustments.
Client reports burning and discomfort with urination. Burning and discomfort with urination are suggestive of a urinary tract infection (UTI), which can be a concern in individuals with chronic kidney disease due to their compromised immune system. However, while this symptom requires attention, it is not as urgent as some other options in the list.
The client's WBC count is 11,000/mm². An elevated white blood cell (WBC) count could indicate an infection, which is a significant concern for someone with chronic kidney disease. Kidney disease compromises the body's ability to fight infections, and if not promptly treated, an infection can lead to sepsis and further kidney damage. Thus, an elevated WBC count is the priority finding to report, as it requires immediate attention to prevent complications.
The client's output was 60 mL for the past 3 hr. Low urine output could indicate decreased kidney function, but a single reading of low urine output is not as critical as an elevated WBC count, which signals a potential infection. Chronic kidney disease can lead to decreased urine output over time, but an acute drop in output is not as urgent as managing an infection.
The correct answer is choice C: The client's WBC count is 11,000/mm².
Choice A rationale:
Client reports voiding three times during the night. Voiding three times during the night could be indicative of nocturia, a common symptom in chronic kidney disease due to decreased kidney function. While this symptom should be monitored and addressed, it is not the highest priority among the options provided. Nocturia is related to fluid balance and can be managed through dietary and medication adjustments.
Choice B rationale:
Client reports burning and discomfort with urination. Burning and discomfort with urination are suggestive of a urinary tract infection (UTI), which can be a concern in individuals with chronic kidney disease due to their compromised immune system. However, while this symptom requires attention, it is not as urgent as some other options in the list.
Choice C rationale:
The client's WBC count is 11,000/mm². An elevated white blood cell (WBC) count could indicate an infection, which is a significant concern for someone with chronic kidney disease. Kidney disease compromises the body's ability to fight infections, and if not promptly treated, an infection can lead to sepsis and further kidney damage. Thus, an elevated WBC count is the priority finding to report, as it requires immediate attention to prevent complications.
Choice D rationale:
The client's output was 60 mL for the past 3 hr. Low urine output could indicate decreased kidney function, but a single reading of low urine output is not as critical as an elevated WBC count, which signals a potential infection. Chronic kidney disease can lead to decreased urine output over time, but an acute drop in output is not as urgent as managing an infection.