Physiological Adaptation Practice Question

Question

The nurse is caring for a client after a stroke and is focused on renal impairment scenario 8. Which nursing action is most appropriate?

Answer choices

1. A. Monitor electrolytes, fluid status, urine output, and medication safety.
2. B. Delay assessment until the next scheduled round if the client is not calling for help.
3. C. Delegate the clinical assessment and nursing judgment to assistive personnel.
4. D. Document the concern without notifying the appropriate provider or care team member when escalation is needed.

Correct Answer

A. Monitor electrolytes, fluid status, urine output, and medication safety.

Explanation

The priority action for renal impairment is to monitor electrolytes, fluid status, urine output, and medication safety. NCLEX-style prioritization favors safety, assessment, appropriate delegation, timely escalation, and client-centered teaching.

Question details

• Difficulty: easy
• Domain: Physiological Adaptation
• Objective: renal impairment

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