ATI Quizzes: Unit I

d. Decreased sodium level

A nurse is reviewing the laboratory results of a client who has liver failure with ascites and is receiving spironolactone. Which of the following findings should the nurse expect? a. Decreased potassium level b. Decreased phosphate level c. Decreased chloride level d. Decreased sodium level

a. Monitor for leg cramps

A client is teaching a client who has a new prescription for hydrochlorothiazide for management of hypertension. Which of the following instructions should the nurse include? a. Monitor for leg cramps b. Take this medication before bedtime c. Reduce intake of d. Avoid grapefruit juice

c. Body weight

A nurse in the ED is caring for an infant who has a 2-day history of vomiting and an elevated temp. Which of the following should the nurse recognize as the most reliable indicator of fluid loss? a. Skin integrity b. BP c. Body weight d. RR

c. Daily weight

A nurse is assessing a client who has CKD for fluid volume increase. Which of the following provides a reliable measure of fluid retention? a. Tissue turgor b. Intake and output c. Daily weight d. Sodium level

c. Oliguria

A nurse is assessing a client who is 2 weeks post op following a kidney transplant. Which of the following manifestations should the nurse identify as possible organ rejection? a. Weight loss b. Insomnia c. Oliguria d. Temp 36.1 (97 F)

a. pitting edema c. bounding pulse

A nurse is assessing an older adult client who is receiving IV therapy. The nurse should recognize that which of the following findings indicates fluid volume excess? (select all that apply) a. Pitting edema b. Urine specific gravity greater than 1.030 c. Bounding pulse d. Swelling at the IV site

d. Serum phosphorus levels

A nurse is caring for a client who has CKD and states she has heartburn. The provider prescribes aluminum hydroxide. The client asks, "why can't I just take the antacid magaldrate my husband has at home?" The nurse explains to the client that aluminum hydroxide is the preferred antacid because it lowers what? a. Serum Mg levels b. Serum K+ levels c. Serum Ca levels d. Serum phosphorus levels

b. Grape fruit juice

A nurse is caring for a client who is to start taking cyclosporine following a kidney transplant. The nurse should instruct the client that which of the following foods can have an adverse interaction with this medication? a. Smoked salmon b. Grape fruit juice c. Pepperoni d. Orange juice

b. potassium

A nurse is caring for a client who receives furosemide to treat heart failure. Which of the following lab values should the nurse include in the teaching? a. Bicarbonate b. Potassium c. Cortisol d. Albumin

d. Weak pulse

A nurse is caring for a client who sustained blood loss. Which of the following is a manifestation of hypovolemia? a. Increased BP b. Dyspnea c. Decreased HR d. Weak pulse

b. Headache, restlessness

A nurse is caring for a patient immediately following a hemodialysis treatment. For which of the following manifestations will the nurse administer a PRN dose of phenytoin? a. Decreased BP, rapid pulse b. Headache, restlessness c. Muscle cramps, chest heaviness d. Pain and tingling at access site

a. Elevated BUN

A nurse is monitoring a client who has AKI. Which of the following lab findings should the nurse expect? a. Elevated BUN b. Metabolic alkalosis c. Hypercalcemia d. Hypokalemia

a. Heart rate

A nurse is monitoring a client who was admitted with a severe burn and is receiving IV fluid resuscitation therapy. The nurse will identify a decrease which of the following findings as an indication of adequate fluid replacement? a. Heart rate b. BP c. Weight d. Urine output

d. Dyspnea

A nurse is preparing to administer a transfusion of RBCs to a client who has heart failure. For which of the following manifestations should the nurse monitor to prevent fluid volume deficit? (select all that apply) a. GI bloating b. Thirst c. Hypotension d. Dyspnea

c. bananas

A nurse is providing dietary teaching for a client who takes furosemide. The nurse should recommend which of the following foods as best source of potassium? a. cheddar cheese b. cooked carrots c. bananas d. 2% milk

d. Cold and numb distal to fistula site

A nurse is providing discharge teaching to a client who has a new arteriovenous fistula in the right forearm. Which of the following manifestations should the nurse include in the teaching as a possible indication of venous insufficiency? a. Pain in right arm proximal to fistula site b. A raised red rash around fistula site c. Foul-smelling drainage from fistula site d. Cold and numb distal to fistula site

b. Serum cr 6 mg/dL

A nurse is reviewing laboratory findings for four clients. Which of the following clients has manifestations of acute kidney injury? a. BUN 15 mg/dL b. Serum cr 6 mg/dL c. Serum K+ 4.5 mEq/L d. Hemoglobin 16 g/dL

c. Urine output is less than 400 mL per 24 hr

A nurse is teaching a client who has acute kidney injury about the oliguric phase. Which of the following information should the nurse include in the teaching? a. The glomerular filtration rate recovers b. BUN and cr levels decrease c. Urine output is less than 400 mL per 24 hr d. Renal function is reestablished

b. "A low protein diet reduces the risk for uremia"

A nurse is teaching a client who has chronic kidney failure about planning a low-protein diet. The client states, "Why do I have to be concerned about protein?" Which of the following responses should the nurse make? a. "A low protein diet will increase the nitrogenous wastes in the blood" b. "A low protein diet reduces the risk for uremia" c. "A low protein diet reduces the risk for edema" d. "A low protein diet will reduce the risk for hyperkalemia"