Quiz question review

Lab tests revealed that your patient's sodium (Na+) is 170 mEq/L. clinical manifestation would you expect to assess?

dehydration restlessness

The hemodialysis client with a left arm fistula is at risk for steal syndrome. The nurse assesses this client for which of the following clinical manifestations in the left hand?

diminished pulse pallor pain

In conducting a primary survey on a trauma patient, which of the following is considered one of the priority elements of the primary survey?

Airway: maintain, intubation Stabilize/ immobilize spine, cervical spine Breathing: admin O2 Pulse: check central pulse, two large bore-IV catheters, fluid resuscitation disability: assess LOC AVPU: alert, responsive to voice, responsive to pain, unresponsive

The nurse is caring for a hospitalized client who has chronic kidney disease. Which of the following nursing diagnoses are most commonly appropriate for this client?

Excess Fluid Volume Imbalanced Nutrition; Less than Body Requirements Activity Intolerance

he nurse is monitoring a client receiving peritoneal dialysis and nurse notes that a client's outflow is less than the inflow. Select actions that the nurse should take.

Insure the drainage bag is below the catheter Check the peritoneal dialysis system for kinks Reposition the client to his or her side, or sit the patient up.

The nurse is evaluating a client's response to hemodialysis. Which lab results will indicate the dialysis was effective?

Serum potassium level decreases from 5.4 to 4.6 mEq/L Cr decreases from 1.6 to 0.8 mg/dL BUN decreases from 110 to 90 mg/dL

Frequent PVCs are noted on the cardiac monitor of a patient with end-stage renal disease. The priority intervention is:

check the patient's potassium level

Trauma: secondary survey:

complete vital signs, ECG, catheters comfort measures