Difficulty: Medium
Average Score: 70%
Simulated
Passage / Scenario
History and PhysicalThe client has a history of Wilms tumor with left radical nephrectomy diagnosed at age five for which he completed treatment nine months ago. A septic episode, while undergoing treatment for his Wilms tumor, resulted in an acute kidney injury. This injury, along with antibiotic therapy and chemotherapy, has resulted in chronic kidney disease. The client is followed by oncology and nephrology services.
Two days later, the nurse completes an assessment of the client. Which assessment findings indicate that the client has stabilized?
Correct answer
B,F,G
Rationale
Normal blood pressure (126/76 mm Hg), heart rate (72 beats/minute), oxygen saturation (98%), and temperature (98.9°F) indicate stabilization. Abnormal ECG, crackles, low urine output, and elevated respirations suggest ongoing issues, not stabilization.