NursGuru
    Adult Health med surg proctored exam (Viterbo university)
    The nurse is caring for four patients with chronic kidney disease. Which patient would the nurse assess first upon initial rounding?a) Woman with a blood pressure of 158/90 mm Hg.b) Patient with Kussmaul respirations.c) Man with skin itching from head to toe.d) Patient with halitosis and stomatitis.The correct answer is: b) Patient with Kussmaul respirations.Choice A reason: A blood pressure of 158/90 mm Hg in a patient with chronic kidney disease (CKD) is elevated and requires management to prevent complications. However, it is not as immediately life-threatening as Kussmaul respirations, which indicate severe metabolic acidosis.Choice B reason: The patient with Kussmaul respirations should be assessed first. Kussmaul respirations are deep, labored breathing patterns typically associated with severe metabolic acidosis, such as diabetic ketoacidosis (DK

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