A patient with acute kidney injury has deep, rapid respirations and increasing drowsiness. Which assessment should the nurse perform first?
Correct answer: A. Assess airway, breathing, and oxygen saturation
- A. Assess airway, breathing, and oxygen saturation
- B. Measure the abdominal girth and check for edema
- C. Ask about the usual pattern of bowel movements
- D. Inspect the urine for visible sediment
Explanation
Deep, rapid respirations and drowsiness may indicate metabolic acidosis, which can impair breathing and consciousness. Airway and breathing take priority under the ABC principle before less urgent fluid and urinary assessments.
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About Renal and Urological Nursing
Covers assessment and care for urinary tract infection, glomerulonephritis, nephrotic syndrome, acute kidney injury, chronic kidney disease, renal stones and urinary obstruction. The subject includes intake and output, urinalysis, fluid restriction, dialysis care and the difference between prerenal, intrinsic and postrenal kidney injury.
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