Quiz 1 RENAL/HEPA

A nurse is caring for a client with a dx of CHF, who just has been told by the primary HCP that hemodialysis is necessary. Which clinical manifestation indicates the need for hemodialysis?

Hyperkalemia

A client is admitted to the hospital with slight jaundice and reports of pain on L side and back. A diagnosis of acute pancreatitis is made. Which common response to acute pancreatitis should the nurse monitor in the client?

Hypovolemia

A client with chronic kidney disease is admitted to the hospital with severe infection and anemia. The client is depressed and irritable. The client's spouse asks the nurse about the anticipated POC. Which is an appropriate nursing response?

"The intake of meat, eggs, and cheese will be restricted so the kidneys can cleat the body of waste."

A client with ESRD is receiving continuous ambulatory peritoneal dialysis. The nurse should monitor the patient for which complications? Select all

Abd pain Cloudy outflow Tachycardia NOT oliguria, NOT Pruritus (itching)

A client is admitted to the hospital for medical management of acute pancreatitis. Which nursing action is most likely to reduce the pancreatic and gastric secretion of a client with pancreatitis?

Admin anticholinergic meds

The nurse administer 2 units of salt-poor albumin to a client with portal hypertension and ascites. What does the nurse explain to the client regarding the purpose of the albumin?

Albumin elevates the circulating blood volume.

A client who had a kidney transplant develops leukemia 3 week after surgery. What does the nurse conclude is the leukopenia probably is caused by:

Antirejection meds

For which clinical indicators should the nurse monitor when caring for a client with cholelithiasis and obstructive jaundice?

Dark urine Clay colored stool Yellow skin NOT dysuria, NOT vomit

A client is admitted to the hospital with a dx of cirrhosis of the liver. For which assessment findings of Hepatic Encephalopathy should the nursse assess the client? Select all

Flappy hands Mental confusion Musty, sweet breath odor NOT brown stools, NOT inc. cholesterol

The nurse is caring for a client who has been diagnosed with Acute post streptococcal glomerulonephritis. Which initial urinary finding supports this dx? Select all

Hematuria, Mild proteinuria Cola-colored pee

A 6 year old is admitted to the peds unit with a tentative dx of acute glumerulonephritis. What does the nurse expect the lab report to reveal? Inc. ASO titer, inc. serum complement, low sed rate, dec BUN

Inc. antistreptolysin O (ASO) titer

Following an abdominal cholecystectomy, the client refuses to take deep breaths and coughs, saying "it's too painful." :( What action does the nurse take?

Medicate the client for pain before coughing and deep breathing

A nurse is preforming a health history and physical assessment of a client with cholelithiasis and obstructive jaundice. Which clinical finding should the nurse expect this client to exhibit?

Pain to RUQ

A nurse is caring for a client with acute pancreatitis. Which elevated lab test result is most indicative of acute pancreatitis? Bilirubin, Serum Lipase, WBC, glucose

Serum Lipase

A client with history of excessive alcohol use develops hepatic portal hypertension and an elevated serum aldosterone level. For which complications should the nurse assess this client for?

Sodium retention and fluid accumulation

A client who has been receiving hemodialysis for several years is to receive a kidney transplant. What should the nurse share in the client's preoperative teaching plan? SATA

The kidneys may not function immediately. Precautions are needed to prevent infections. A urinary catheter will be present postoperatively.

When assessing a client during peritoneal dialysis, a nurse observes that drainage of the dialysate from the peritoneal cavity has ceased before the required volume has returned. What should the nurse instruct the client to do?

Turn from side to side

A client had a kidney transplant. The nurse should monitor for which assessment findings associated with rejection of the transplant? SATA

Fever Oliguria Weight gain (fluid ret)

A nurse is caring for a client with hepatic encephalopathy. Which elements are important to include in this clients care? Select all

Low protein diet Administer of oral Lactulose NOT high carbs, NOT broad spectrum antibiotics

A school nurse is teaching a health class of 12-year olds about Hepatitis C. Which statement by a student indicates an understanding of the origin of the disease?

You can get Hep C from getting a tattoo

Before a transurethral resection of the prostate (TURP), a client asks about what to expect postoperatively. The most appropriate response by the nurse is: 1 "You will have an abdominal incision and a dressing." 2 "Your urine will be pink and free of clots." 3 "There will be an incision between your scrotum and rectum." 4 "There will be an indwelling urinary catheter and a continuous bladder irrigation in place."

"There will be an indwelling urinary catheter and a continuous bladder irrigation in place."

A client with a long history of alcohol abuse develops acute pancreatitis. What should be done to prevent stimulation of the pancreas?

Admin the histamine H2receptor antagonist as prescribed

A client with cholelithiasis has a laser laparoscopic cholecystectomy. Postoperatively it is most appropriate for the nurse to: 1. Maintain the client's nothing by moth status for the first 24 hours 2. Monitor the client's abdominal incision for bleeding 3. Offer clear carbonated beverages to the client 4. Ambulate the client when the client is alert and oriented

Ambulate the client with the client is alert and oriented

Which clinical findings indicate to the nurse that a 6-year-old child has nephrotic syndrome (NS) rather than acute poststreptococcal glomerulonephritis (APGN)? Select all

Hypoalbuminemia Massive proteinuria Generalized edema

A client is admitting to the hospital in the oliguric stage of AKI. The nurse estimates that the urine output for the last 12 hours is about 230 mL. The nurse reviews the POC and notes a prescription for 900 mL of water to be given orally over the next 24 hours. What does the nurse conclude about the amount of fluid prescribed?

It will compensate for both insensible and expected output over the next 24 hours