quiz 7 elimination

A client with chronic renal failure comes to the clinic for a visit. During the visit, he complains of pruritus. Which suggestion by the nurse would be most appropriate? "Keep your showers brief, patting your skin dry after showering." "Liberally apply alcohol to the areas of your skin where you itch the most." "Try washing clothes with a strong detergent to ensure that all impurities are gone." "When you shower, use really warm water and an antibacterial soap."

"Keep your showers brief, patting your skin dry after showering."

A client asks the nurse why epoetin alfa is administered during dialysis sessions. Which response by the nurse is accurate? "The medication is a form of erythropoietin that stimulates red blood cell production." "When clients are on a renal diet, this medication produces products to stimulate increased renal output." "The medication will assist in your activity level when you are not in the hospital." "The medication is given to eliminate the rise of creatinine, a naturally occurring electrolyte excreted by the kidneys."

"The medication is a form of erythropoietin that stimulates red blood cell production."

A nurse is caring for a client with acute renal failure. The health care provider has prescribed a diuretic therapy for the client to promote dieresis. What intervention should the nurse perform to prevent the inconvenience caused by increased urination? Ask the client to decrease fluid intake. Gradually increase the drug dosage. Administer the drug early in the day. Encourage the client to exercise.

Administer the drug early in the day.

A client with a history of chronic renal failure receives hemodialysis treatments three times per week through an arteriovenous (AV) fistula in the left arm. Which intervention should the nurse include in the care plan? Assess the AV fistula for a bruit and thrill. Keep the AV fistula wrapped in gauze. Take the client's blood pressure in the left arm. Keep the AV fistula site dry.

Assess the AV fistula for a bruit and thrill.

The client with chronic kidney disease is exhibiting signs of anemia. Which is the best nursing rationale for this symptom? Azotemia Impaired immunologic response Diminished erythropoietin production Electrolyte imbalances

Diminished erythropoietin production

A nurse is teaching the parents about the kidney transplant their child is going to receive. What would be included in the teaching? Induction therapy medication will prevent infection with the transplant. As long as the medications are used properly, the transplant will not be rejected. Immunosuppression is common after a kidney transplant. The child can stop medication after 3 months of therapy.

Immunosuppression is common after a kidney transplant.

A client with chronic renal failure is admitted with a heart rate of 122 beats/minute, a respiratory rate of 32 breaths/minute, a blood pressure of 190/110 mm Hg, jugular vein distention, and bibasilar crackles. Which nursing diagnosis takes highest priority for this client? electrolyte disturbance toileting self-care deficit excess fluid volume urinary retention

excess fluid volume

The nurse is caring for a 3-year-old child with acute kidney injury. Which laboratory finding should the nurse immediately report to the healthcare provider? creatinine 2.5 mg/dL (221 umol/L) sodium 130 mEq/L (130 mmol/L) blood urea nitrogen (BUN) 40 mg/dL (urea 14.3 mmol/L) potassium level of 6.5 mEq/L (6.5 mmol/L)

potassium level of 6.5 mEq/L (6.5 mmol/L)

A client diagnosed with acute kidney injury (AKI) has a serum potassium level of 6.5 mEq/L. The nurse anticipates administering: Sorbitol Calcium supplements IV dextrose 50% sodium polystyrene sulfonate (Kayexalate)

sodium polystyrene sulfonate (Kayexalate)

A client is admitted for treatment of chronic renal failure (CRF). The nurse knows that this disorder increases the client's risk of: a decreased serum phosphate level secondary to kidney failure. metabolic alkalosis secondary to retention of hydrogen ions. water and sodium retention secondary to a severe decrease in the glomerular filtration rate. an increased serum calcium level secondary to kidney failure.

water and sodium retention secondary to a severe decrease in the glomerular filtration rate.

A 35-year-old client is diagnosed with acute kidney injury (AKI) and is started on hemodialysis. The client is concerned with the diagnosis and wants to know what to expect in the progression of this disorder. Which statement best addresses the client's concern? "Acute kidney injury is abrupt in onset and often reversible if recognized early and treated appropriately." "The occurrence of acute kidney injury will always eventually result in chronic renal failure." "Once your condition improves you can be placed on peritoneal dialysis for the rest of your life." "You will need to have a renal transplant to live a productive, healthy life."

"Acute kidney injury is abrupt in onset and often reversible if recognized early and treated appropriately."