PREP U, 48 SATA

The nurse is creating a plan of care for a client with nephrotic syndrome. Which assessment findings will dictate necessary nursing actions? Select all that apply.

Anorexia Weight gain Shortness of breath Periorbital edema

A client diagnosed with chronic kidney disease is hospitalized and receiving hemodialysis 3 days a week. When creating the plan of care, which actions will be included? Select all that apply.

Assess for a thrill or bruit over the vascular access site during every shift. Assess access site pain daily.

The nurse is caring for a client with acute glomerular inflammation. When assessing for the characteristic signs and symptoms of this health problem, the nurse should include which assessments? Select all that apply.

Assess for the presence of peripheral edema. Assess the client's BP.

The nurse is caring for a patient with a medical history of untreated CKD that has progressed to ESKD. Which of the following serum values and associated signs and symptoms will the nurse expect the patient to exhibit? Select all that apply.

Calcium 7.5 mg/dL; hypotension and irritability Potassium 6.4 mEq/L; dysrhythmias and abdominal distention Phosphate 5.0 mg/dL; tachycardia and nausea and emesis

Based on the pathophysiologic changes that occur as renal failure progresses, the nurse identifies the following indicators associated with the disease. Select all that apply.

Hyperkalemia Anemia Hypocalcemia

The nurse is caring for a client hospitalized with a diagnosis of acute kidney injury (AKI) experiencing hyperkalemia with a peaked T-wave. Which medication therapy will the nurse prepare to implement? Select all that apply.

IV insulin IV Glucose Oral polystyrene sulfonate

A client is receiving hemodialysis for acute kidney failure. Which assessment finding(s) indicates to the nurse that the client is experiencing dialysis disequilibrium? Select all that apply.

Nausea Vomiting Headache Confusion

The nurse is reviewing a patient's laboratory results. What findings does the nurse assess that are consistent with acute glomerulonephritis? Select all that apply.

Red blood cells in the urine Proteinuria

The nurse is caring for a postoperative client who reports difficulty urinating. The client does not have a urinary catheter in place. Which nursing action(s) are most appropriate at this time? Select all that apply.

Run water to assist in the let-down reflex. Assist to the bathroom. Assist the client to stand. Measure urinary output.

The nurse is working on the renal transplant unit. To reduce the risk of infection in a client with a transplanted kidney, which action(s) will the nurse take? Select all that apply.

Wash hands carefully and frequently Perform skin hygiene Perform oral care