EAQ QUESTIONS EXAM #4

The nurse is teaching a client receiving peritoneal dialysis about the reason dialysis solution is warmed before it is instilled into the peritoneal cavity. Which information will the nurse share with the client?

Because it encourages removal of serum urea by preventing constriction of peritoneal blood vessels

The nurse observes a client with kidney failure has increased rate and depth of breathing. Which laboratory parameter does the nurse suspect is associated with this client's condition?

Bicarbonate 15 mEq/L

What should be given with magnesium sulfate for preeclampsia

CNS depressant

A nurse is providing instructions to a client who is scheduled for a colonoscopy. What drink does the client indicate should be avoided several days before the test if these instructions are understood?

Cherry Kool-Aid

A nurse is assessing the urine of a client with a urinary tract infection. Which assessment finding is consistent with a urinary tract infection?

Cloudy

HELLP Syndrome

Decreased hemoglobin and hematocrit levels elevated liver enzymes decreased creating clearance

After a gastrojejunostomy (Billroth II) for cancer of the stomach, a client progresses to a regular diet. After eating lunch, the client becomes diaphoretic and has palpitations. What does the nurse conclude is the probable cause of these clinical manifestations?

Extracellular fluid shift into the bowel

A client has a kidney transplant. The nurse should monitor for which assessment findings associated with rejection of the transplant? Select all that apply.

Fever Oliguria Weight Gain

A client is diagnosed as having malabsorption syndrome secondary to celiac sprue. The client asks the nurse if there is anything that can help improve symptoms. What should the nurse encourage the client to incorporate into the diet for symptom improvement?

Gluten-free diet

Immediately after a liver biopsy the nurse places the client onto the right side. Which reason explains the use of the right side-lying position?

Helps stop bleeding if any should occur

Which parts of the nephron are the sites of action for furosemide? Select all that apply.

Loop of Henle Distal tubule Proximal tubule

A nurse educates the client about the relationship between the kidneys and blood pressure. Which term should the nurse use to describe the part of the kidney that senses changes in blood pressure?

Macula densa

MAgnesium sulfate pt edu

Magnesium is excreted in the urine, so the nurse will be checking the urine frequently

Which retrograde procedure involves the examination of the ureters and the renal pelvises?

Pyelogram

Normal range of specific gravity of urine

The normal specific gravity of urine lies between 1.005 and 1.030

Risk factors for preeclampsia

age < 20 or > 35 nulliparity multiple gestation

Signs and symptoms of preeclampsia

blurry vision dizziness headache abdominal pain shortness of breath/chest pain

The nurse is caring for a client with ureteral colic. To prevent the development of renal calculi in the future, which strategy should be included in the client's plan of care?

nstructing the client to drink at least 3L of fluid daily

After abdominal surgery a client returns to the unit with a nasogastric (NG) tube to low intermittent wall suction. The primary healthcare provider prescribes an antiemetic every six hours as needed for nausea. When the client complains of nausea, what should the nurse do first?

Irrigate the NG tube with normal saline.

A nurse is evaluating a client's understanding of peritoneal dialysis. Which information in the client's response indicates an understanding of the purpose of the procedure?

Removing toxins in addition to other metabolic wastes

Affects of magnesium sulfate on the fetus

more relaxed possible lower heart rate semi sedated hyporeflexia decreased respirations

What is a funding headache and elevated DTR caused by?

cerebral edema

A client has a colostomy as a result of surgery for cancer of the colon. Which nurse's statement will most effectively minimize the client's stress the first time self-irrigation is done?

"I'll draw the curtain and assemble all the equipment. Would you like me to stay, or do you prefer to try it yourself and call me if you need help?"

INR Value

0.8-1.2

PT value

11-12.5 seconds

After surgery to create an ileal conduit, a client awakens and asks for a sip of water. The nurse informs the client that water by mouth cannot be given until what occurs?

Nasogastric suction is discontinued

Antidote for magnesium sulfate

calcium gluconate

After abdominal surgery a client returns to the unit with a nasogastric (NG) tube to low intermittent wall suction. The primary healthcare provider prescribes an antiemetic every six hours as needed for nausea. When the client complains of nausea, what should the nurse do first?

Check for correct placement of the NG tube

An older client comes to the emergency department after three days of diarrhea and is admitted to the hospital for rehydration therapy. In addition to sodium, what electrolyte should the nurse be concerned about most when the client's laboratory results are documented?

Potassium

A client who is recovering from deep partial-thickness burns develops chills, fever, flank pain, and malaise. The primary healthcare provider makes a tentative diagnosis of urinary tract infection. Which diagnostic tests should the nurse expect the primary healthcare provider to prescribe to confirm this diagnosis?

Urinalysis and urine culture and sensitivity

Best medication for postpartum hemorrhage of pt on oxytocin and magnesium sulfate

carboprost tromethamine

A client has a paracentesis during which 1500 mL of fluid is removed. The nurse should monitor the client carefully for what reaction?

Hypovolemic Shock

Which urinalysis finding indicates a urinary tract infection?

Presence of leukoesterase

The primary healthcare provider suspects pituitary gland dysfunction in a female client. Which diagnostic test would the primary healthcare provider suggest to the client?

Prolactin tes

A nurse is teaching menu planning to a client who has a high triglyceride level. Which item avoided by the client indicates that teaching about foods that are high in saturated fat is understood?

Red meat

A nurse is notified that the latest potassium level for a client in acute kidney injury is 6.2 mEq (6.2 mmol/L). Which action should the nurse take first?

Take vital signs and notify the primary healthcare provider

When discussing a scheduled liver biopsy with a client, the nurse explains that for several hours after the biopsy the client will have to remain in what position?

The right side-lying position with pillows placed under the costal margin

A client just has returned from the postanesthesia care unit after having a laparotomy. Which initial sign or symptom indicates to the nurse that peristalsis has begun to return?

Borborygmi are auscultated.

When assessing a client during peritoneal dialysis, a nurse observes that drainage of the dialysate from the peritoneal cavity has ceased before the required volume has returned. What should the nurse instruct the client to do?

Turn from side to side

Which hormone is released in response to low serum levels of calcium?

Parathyroid hormone

A nurse is assessing a client with Crohn disease who is to have an upper gastrointestinal series. Which condition necessitates the cancellation of the upper gastrointestinal series?

Colon perforation