Adaptive Quiz Week 3 Questions

A patient is receiving EPOETIN for the treatment of anemia associated with chronic renal failure. Which patient statement indicates to the nurse that further teaching about this medication is necessary? A: I realize it is important to take this medication because it will cure my anemia B: I know many ways to protect myself from injury because I am at risk for seizures C: I recognize that I may still need blood transfusions if my blood values are very low D: I understand that I will still have to take supplemental iron therapy with this medication

A: "I realize it is important to take this medication because it will cure my anemia."

A patient with end stage kidney disease says to the nurese " I heard it is inevitable that I will need a kidney transplant. If so, which one of my kidneys will be removed?" Which is the BEST response by the nurse? A: Neither of your kidney's will be removed unless they are infected B: The kidney that is the most diseased is removed and replaced with a new one C: It is up to the primary healthcare provider as to which kidney is replaced with a new one D: Your right kidney will be removed, because it has a longer renal vein, making transplantation easier.

A: Neither of you kidney's will be removed unless they are infected

A nurse is caring for a patient with acute kidney injury. Which findings should the nurse anticipate when reviewing the laboratory report of the patient;s blood levels of calcium, potassium, and creatinine. SATA A: Calcium 7.6mg/dL B: Calcium 10.5 mg/dL C: Potassium 6.0 mEq/L D: Potassium 3.5 mEq/L E: Creatinine 3.2 mg/dL F: Creatinine 1.1 mg/dL

A:Calcium 7.6 C: Potassium 6.0 E: Creatinine 3.2

A nurse assesses a patient with the diagnosis of an intestinal obstruction in the descending colon. When auscultating the midabdomen, what should the nurse expect to hear? A: Tympany B: Borborygmi C: Abdominal bruit D: Pleural friction rub

B: Borborygmi

A patient with AKI states, "Why am I twitching, and my fingers and toes tingling?" Which process should the nurse consider when formulating a response to the patient? A: Acidosis B: Calcium Depletion C: Potassium Retention D: Sodium Chloride Depletion

B: Calcium depletion.

A nurse is caring for a patient receiving hemodialysis for chronic kidney disease. The nurse should monitor the patient for which complication? A: Peritonitis B: Hepatitis B C: Renal Calculi D: Bladder infection

B: Hepatitis B

A client with acute kidney injury is to receive peritoneal dialysis and asks why the procedure is necessary? Which is the nurse's BEST response? A: It prevents the development of serious heart problems B: It helps perform some of the work usually done by the kidneys C: It will keep your kidneys from getting worse and may "restart" your kidneys to perform better than before D: It speeds recovery because the kidneys are not responding to regulating hormones.

B: It helps perform some of the work usually done by the kidneys

A patient with sever crohns disease develops a small bowel obstruction. Which clinical finding should the nurse expect the patient to report? A: Bloody vomitus B: Projectile vomiting C: Bleeding with defection D: Pain in the left lower quadrant

B: Projectile Vomiting

A nurse is caring for a patient with chronic kidney failure. What should the nurse teach the patient to limit intake of to help control uremia associate with end stage renal disease? (ESRD) A: Fluid B: Protein C: Sodium D: Potassium

B: Protein

A patient receives dosages of sedative and opioid drugs during the postop period following surgical correction of a small bowel obstruction. What is the MOST critical assessment to be performed as a nursing safety priority? A: Urinary assessment B: Respiratory assessment C: Cardiovascular assessment D: Neuromuscular assessment

B: Respiratory Assessment---- RESPIRATORY IS ALWAYS FIRST

A patient with chronic renal failure has been on hemodialysis for 2 years. The patient communicates with the nurse in the dialysis unit in an angry, critical manner and is frequently noncompliant with medications and diet. The nurse can BEST intervene by considering that the patient's behavior is MOST likely for which reason? A: An attempt to punish the nursing staff B: A constructive method of accepting reality C: A defense against underlying depression and fear D: An effort to maintain life and live it as fully as possible

C: A defense against underlying depression and fear

A patient with irritable bowel syndrome has instructions to take psyllium 2 rounded teaspoons full twice a day for constipation. What is MOST important for the nurse to include in the teaching plan? A: Urine may be discolored B: Stop taking the laxative once a bowel movement occurs C: Each does should be taken with a full glass of water or juice D: Daily use may inhibit the absorption of some fat-soluble vitamins

C: Each dose should be taken with a full glass of water or juice.

A patient with chronic renal failure stops responding to the treatment. On examination, the pcp determines that the patient is terminally ill. What is the BEST nursing intervention in this situation? A: Suggest that the family members get a second opinion B: Suggest that the family members continue to try different treatments C: Encourage the family members to provide palliative care to the client D: Inform the family members that the disease is no longer curable and the client will die shortly

C: Encourage the family members to provide palliative care to the patient.

A client with a history of crohns develops an intestinal obstruction. An NG tube is inserted and connected to low continuous suction. The nurse monitors the patient for fluid volume deficit. What clinical finding does the nurse expect if the patient becomes dehydrated? A: Restlessness B: Constipation C: Inelastic skin turgor D: Increased blood pressure

C: Inelastic skin turgor.

A patient is admitted to the hospital in the oliguric phase of kidney injury. The nurse estimates that the urine output for the last 12 hours is about 200 ml. The nurse reviews that plan of care and onotes 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? A: It equals the expected urinary output for the next 24 hours B: It will prevent the development of pneumonia and a high fever C: It will compensate for both insensible and expected output over the next 24 hours D: It will reduce hyperkalemia, which can lead to life-threatening cardiac dysrhythmias.

C: It will compensate for both insensible and expected output over the next 24 hrs.

A nurse teaches a patient with chronic renal failure that salt substitutes cannot be used in the diet. What is the rationale for this instruction? A: A persons body tends to retain fluid when a salt substitute is included in the diet B: Limiting salt substitutes in the diet prevents a buildup of waste products in the blood C: Salt substitutes contain potassium, which must be limited to prevent abnormal heartbeats D: A substance in the salt substitutes interferes with the transfer of fluid across capillary membranes, resulting in anasarca.

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

A nurse is notified that the latest potassium level for a patient in Acute Kidney Injury is 6.2 Which action should the nurse take FIRST? A: Alert the cardiac arrest team B: Call the laboratory to repeat the test C: Take vital signs and notify the primary healthcare provider D: Obtain an electrocardiogram strip and obtain an anti arrhythmic medication.

C: Take vital signs and notify the primary healthcare provider.

A nurse is caring for a patient with AKI who is receiving a protein-restricted diet. The patient asks why this diet is necessary. Which information should the nurse include in a response to the patient's question? A: A high protein intake ensures an adequate daily supply of amino acids to compensate for losses B: Essential and nonessential amino acids are necessary in the diet to supply materials for tissue protein synthesis C: This supplies only essential amino acids, reducing the amount of metabolic waste products, thus decreasing stress on the kidneys D: Urea nitrogen cannot be used to synthesize amino acids in the body, so the nitrogen for amino acid synthesis must come from the dietary protein.

C: This supplies only essential amino acids, reducing the amount of metabolic waste products, thus decreasing stress on the kidneys.

A patient is diagnosed with a peptic ulcer. When teaching about peptic ulcers, the nurse instructs the patient to report what kind of stools? A: Frothy B: Ribbon shaped C: Pale or clay colored D: Dark brown or black

D: Dark brown or black

A nurse administers sodium polystyrene sulfonate to a patient with chronic renal failure. Which finding provides evidence that the intervention is effective? A: Frequent loose stools B: Improved mental status C: Sodium increase to 137 mEq/L D: Potassium decreases to 4.2 mEq/L

D: Potassium decreases to 4.2 mEq/L