Elimination Adaptive Quiz

When receiving hemodialysis, the client may develop hyponatremia. Which clinical findings related to the potential development of hyponatremia would the nurse monitor? SELECT ALL THAT APPLY a) diarrhea b) seizures c) Chvostek sign d) cardiac dysrhythmias e) increased temperature

a) diarrhea b) seizures

Which intervention would be included in the plan of care for a child with nephrotic syndrome? a) providing meticulous skin care b) restricting fluids to 4 oz (120mL) each shift c) offering a diet low in carbohydrates and protein d) sending blood to the lab for typing and crossmatching

a) providing meticulous skin care Rationale: massive edema, typical of nephrotic syndrome, predisposes the child to skin breakdown

Which food would the nurse encourage the client requiring hemodialysis to include in his or her dietary intake? a) rice b) potatoes c) canned salmon d) barbecued beef

a) rice

Which option would the nurse offer a client with acute glomerulonephritis who reports thirst? a) ginger ale b) milkshake c) hard candy d) cup of broth

c) hard candy

Which nursing intervention would be important for the nurse to implement when caring for an adolescent child with acute glomerulonephritis? a) assess for dysuria b) inspect for jaundice c) monitor for hypertension d) test vomitus for occult blood

c) monitor for hypertension

A child is admitted with hypertensive acute glomerulonephritis. Which medication would the nurse anticipate being prescribed initially in addition to hydralazine? a) digoxin b) alprazolam c) phenytoin d) furosemide

d) furosemide

Which clinical manifestation indicates the need for immediate hemodialysis in a client with chronic kidney disease? a) ascites b) acidosis c) hypertension d) hyperkalemia

d) hyperkalemia

Which clinical finding would the nurse anticipate when assessing a child with acute glomerulonephritis? a) ketonuria b) periorbital edema c) increased appetite d) decreased blood pressure

b) periorbital edema

A client who has renal failure asks the nurse why anemia keeps recurring. Which reason would the nurse explain to the client? a) increase in blood pressure b) decrease in erythropoietin c) increase in serum phosphate levels d) decrease in sodium concentration

b) decrease in erythropoietin

Which possible complication would the nurse be MOST concerned about when a client receiving hemodialysis has an external shunt for circulatory access? a) infection b) hemorrhage c) skin breakdown d) impaired circulation

b) hemorrhage

Which dietary instruction would the nurse provide a client receiving continuous ambulatory peritoneal dialysis (CAPD) for chronic glomerulonephritis? a) low-calorie diet b) high-quality protein c) increased fluid intake d) foods rich in potassium

b) high-quality protein

Which abnormal finding would the nurse monitor for during the oliguric phase of acute kidney injury? a) hypothermia b) hyperkalemia c) hypocalcemia d) hypernatremia

b) hyperkalemia Rationale: the kidneys retain potassium during this phase

When caring for a child with nephrotic syndrome, which clinical manifestation would the nurse be able to detect when monitoring the blood pressure and pulse rate and quality? a) heart failure b) hypovolemia c) pulmonary embolus d) increased serum potassium

b) hypovolemia

Which microorganism would the nurse suspect as the cause of acute glomerulonephritis? a) haemophilus b) streptococcus c) pseudomonas d) staphylococcus

b) streptococcus

Which finding is associated with nephrotic syndrome rather than acute glomerulonephritis? SELECT ALL THAT APPLY a) lethargy b) gross hematuria c) generalized edema d) massive proteinuria e) unchanged blood pressure

c) generalized edema d) massive proteinuria e) unchanged blood pressure

Which test result would the nurse anticipate in the lab reports of a client with a diagnosis of end-stage renal disease? a) arterial pH of 7.5 b) hematocrit of 54% c) potassium of 6.3 d) creatinine of 1.2

c) potassium of 6.3

A child is admitted to the pediatric unit with nephrotic syndrome. Which measures would the nurse expect to include in the plan of care for this child? SELECT ALL THAT APPLY a) maintaining bed rest b) administering antibiotics c) providing symptomatic care d) eliminating high-sodium foods e) monitoring response to steroids

c) providing symptomatic care d) eliminating high-sodium foods e) monitoring response to steroids