Week 4: AKI/CKD Quiz

Which complication may be present in a client hospitalized with end-stage kidney disease?

Anemia

Which diagnosis would the nurse suspect when caring for a client with acute kidney injury who complains of tingling of the extremities and tetany in the arm when the blood pressure cuff cycles?

Calcium depletion

Which assessment finding in a hospitalized client with a history of chronic kidney disease would lead the nurse to suspect worsening kidney function?

Edema and pruritus

A nurse is preparing a client with a suspected stroke for cerebral imaging with contrast.Which priority action is required?

Ensure a recent creatinine level has been assessed.

Which primary intervention is used to treat anemia secondary to chronic kidney disease?

Erythropoietin

Which abnormal finding would be a priority for a client who is in the oliguric phase of acute kidney injury?

Hyperkalemia

Which symptom is indicative of the need for dialysis in the child with chronic kidney disease?

Hypervolemia

Which part of the renal system does furosemide exerts its effects?

Loop of Henle

Which action would the nurse take after receving a critical lab of a potassium level of 6.2 mEq on a client with acute kidney injury?

Notify the healthcare provider

Which integumentary assessment findings may be present in a client with a serum creatinine value of 7.4 mg/dL and a blood urea nitrogen value of 245 mg/dL?

Pruritus and uremic frost

Which patient education would be a priority in a client with a recent kidney transplant?

Recognize the signs of a UTI

Which process is a function of the kidney hormones?

Renin raises the blood pressure because of angiotensin and aldosterone secretion

Which laboratory value would the nurse monitor when determining whether a client's newly transplanted kidney works effectively?

Serum creatinine

Which mechanism of action explains how diuretics reduce blood pressure?

They reduce the circulating blood volume

Which assessment finding would the nurse recognize as indicating improvement in a 4-year-old child being treated for nephrotic syndrome?

Urine specific gravity decreases

Which instruction would the nurse give to a client with renal calculi?

"Drink plenty of water."

Which statement regarding kidney ultrasound is correct?

"Kidney ultrasonography makes use of sound waves and has minimal risk."

A client is admitted for sepsis and acute kidney injury. 10 days after their admission they progress into the diuretic phase of AKI. During this phase, which clinical indicators would the nurse be alert for?

Hypovolemia

Why should a client with chronic kidney disease avoid all salt substitutes?

Salt substitutes contain potassium, which must be limited to prevent abnormal heartbeats

Which statement explains the amount of prescribed fluid for a client admitted in the oliguric phase of acute kidney injury? The client's measured urine output was 200 mls over 24 hours and the provider order is for 900mls of total intake for 24 hours.

The fluid compensates for insensible fluid loss and the urinary output