Fund Exam Renal Question
Which condition can be prevented when a client with chronic kidney disease receives medication to manage anemia?
Chronic fatigue
Which assessment is necessary for the nurse to complete in a client with chronic kidney disease receiving loop diuretics?
Intake and Output measurement
Which client's results indicate kidney impairment? 1. Creatinine 0.1 BUN 16 2. Creatinine 0.8 BUN 18 3. Creatinine 1.2 BUN 20 4. Creatinine 1.9 BUN 22
4
Which process would the nurse consider when formulating a response to a client with acute kidney injury who states "Why am I experiencing twitching and tingling of my fingers and toes?"
Calcium depletion
Which fluid shift would the nurse anticipate when administering albumin IV?
Interstitial compartment to intravascular compartment
Which condition would the nurse suspect when a client has BUN/Creatinine ratio of 3? a. Fluid volume excess b. Obstructive uropathy c. Severe hepatic damage d. Gastrointestinal bleed
Fluid volume excess
Which renal complication is likely to cause a client to experience anorexia, itching, nausea, vomiting, and muscle cramps?
Uremia
Which laboratory finding suggests mild kidney disease in a male client? a. Serum creatinine: 0.9mg/D=dL b. Urinary albumin: 24 mg/mmol c. BUN: 18 mg/dL d. BUN/Creatinine ratio: 23
urinary albumin
Which action would the nurse take before a client's scheduled hemodialysis treatment? a. obtain urine specimen to evaluate kidney function b. weigh the client to establish a baseline for later comparison c. administer medication that are scheduled to be given within the next hour d. explain that the peritoneum serves as a semipermeable membrane to remove wastes
weight the client to establish a baseline for later comparison
Which finding supports the nurse's conclusion that the client is at risk for kidney damage and the HCP need to increase IV fluid rate?
Urine output is 25 mL per hour
Which electrolyte, found on urinalysis, would alert nurse of possibility of kidney damage?
Protein
Which laboratory result in a female client would cause a nurse to suspect kidney dysfunction? a. estimated GFR: 100 ml/min/1.73m b. Serum creatinine level: 1.1 mg/dL c. BUN: 20 mg/dL d. 24-hour creatinine clearance: 68 mL/min
24 hour creatinine clearance
Which element would the nurse teach the client with chronic kidney disease to limit as an intervention to control uremia associated with end-stage renal disease? a. fluid b. protein c. sodium d. potassium
Protein
Which statement made by the client identifies a regulatory function of the kidney? a. Erythropoiesis b. Acid base balance c. Vitamin D activation d. Blood pressure control e. Fluid and electrolyte balance
Acid-base balance, fluid and electrolyte balance
Which hormone influences kidney function? a. Renin b. Bradykinin c. Aldosterone d. Erythropoietin
Aldosterone
Which complications would the nurse monitor a client hospitalized with end-stage kidney disease?
Anemia, dyspnea
Which action would the nurse take after identifying a client's urinary output is less than 40 mL/h over the past 3 hours? a. Assess breath sounds and obtain vital signs b. Decrease intravenous flow rate and increase oral fluid c. Insert an indwelling catheter to facilitate emptying of the bladder d. Check for dependent edema by assessing the lower extremities
Assess breath sound and obtain vital signs
Which intervention would the nurse include in the plan of care for a patient with end-stage renal disease who has a mature arteriovenous fistula? a. auscultate the fistula for presence of a bruit b. palpate the site to identify presence of a thrill c. Irrigate the fistula with saline to maintain patency d. Avoid drawing blood from the affected extremity e. Keep fistula clamped until ready to perform dialysis
Auscultate the fistula for presence of a bruit, palpate the site to identify presence of a thrill, avoid drawing blood from affected extremity
Which clinical indicator would the nurse expect for a client who has end-stage renal disease (ESRD)? a. polyuria b. jaundice c. Azotemia d. Hypertension e. Polycythemia
Azotemia, hypertension
Which laboratory blood test result would the nurse report in a client with an infection who is receiving vancomycin? a. Hematocrit: 45% b. Calcium: 9.0 mg/dL c. White blood cell: 10,000 mm d. Blood urea nitrogen: 30 mg/dL
Blood urea nitrogen
Which disorder would the nurse suspect a client's urinary urea nitrogen level is 9g/24?
Client experiencing kidney damage
Which action is the function of ADH?
Decrease water loss in urine
Which disease increases the risk of hyperkalemia?
End-stage renal disease
Which clinical manifestation indicates the need for immediate hemodialysis in a client with chronic kidney disease?
Hyperkalemia
Where is the blood pressure cuff placed on a client with dialysis access fistula in the right arm? a. on the left arm b. over fistula c. below fistula d. above fistula
On the left arm
Which response would the nurse give to a client with an acute kidney injury who has peritoneal dialysis prescribed and asks why the procedure is necessary?
PD helps perform some of the work usually performed by your kidneys
Which substance is released in response to low serum levels of calcium?
Parathyroid hormone
Which assessment finding would the nurse expect in the client hospitalized with a diagnosis of severe chronic kidney disease? a. Polyuria b. Paresthesia c. Hypertension d. Metabolic Alkalosis e. widening pulse pressure
Parethesias, Hypertension
Which test result would the nurse anticipate in the laboratory report 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 mEq/L d. Creatinine of 1.2 mg/dL
Potassium
Which physiological factor help maintain BP in client with hypovolemia?
Release of aldosterone Activation of angiotensin II SNS activation
Which information in the response of a client receiving peritoneal dialysis indicates understanding of the purpose of the procedure?
Removing toxins and metabolic wastes
A post operative client has 180 mL of urine in the past 8 hours? Which condition would the nurse monitor?
Renal failure
Which rational supports the nurse's instruction that a client with chronic kidney disease is to avoid all salt substitutes?
Salt substitutes contain potassium, which must be limited to prevent abnormal heartbeats
Which laboratory tests provides evidence consistent with a client having renal impairment?
Serum creatinine 2.0 Serum potassium 5.9 BUN 32
The nurse would monitor a client who had 1500 mL of fluid removed during a paracentesis for which complication?
Tachycardia
For which potential complication would the nurse monitor a client receiving continuous ambulatory peritoneal dialysis for end-stage kidney disease? a. Pruritus b. Oliguria c. Tachycardia d. Cloudy outflow e. Abdominal pain
Tachycardia, cloudy outflow, abdominal pain