ATI AKI/ESKD

A nurse is caring for a client who has chronic pyelonephritis. Which of the following actions should the nurse take? (Select all that apply.) A. Encourage the client to restrict daily fluid intake to 1 L. . B. Arrange a consultation with a registered dietician. C. Palpate the costovertebral angles of the client. D. Instruct the client to void every two hours. E. Monitor the client's creatinine level.

. B. Arrange a consultation with a registered dietician C. Palpate the costovertebral angles of the client. D. Instruct the client to void every two hours. E. Monitor the client's creatinine level.

A nurse is preparing to provide care to a client who has hyperglycemic-hyperosmolar state (HHS). The nurse should identify that which of the following findings are risk factors for this diagnosis? (Select all that apply.) A. History of recent myocardial infarction B. Blood Urea Nitrogen (BUN) 35 milligrams per deciliter (mg/dL) C. Takes a calcium channel blocker D. Age 65 years E. No insulin production

A. History of recent myocardial infarction B. Blood Urea Nitrogen (BUN) 35 milligrams per deciliter (mg/dL) C. Takes a calcium channel blocker. D. Age 65 years

A nurse who is caring for a client with a history of alcohol abuse and cirrhosis expects to find which of the following abnormalities when reviewing the client's laboratory tests? B. Decreased bilirubin. C. Decreased ammonia. D. Increased albumin E. Decreased sodium.

A. Increased prothrombin time E. Decreased sodium.

A nurse is preparing to initiate peritoneal dialysis for a client who has chronic kidney disease. Which of the following actions should the nurse take? A. Monitor the client's glucose levels. B. Report cloudy dialysate return. C. Warm the dialysate in a microwave oven. D. Assess the client for the presence of shortness of breath. E. Position the drainage bag lower than the client's abdomen. F. Maintain medical asepsis when accessing the catheter insertion site.

A. Monitor the client's glucose levels. B. Report cloudy dialysate return. D. Assess the client for the presence of shortness of breath. E. Position the drainage bag lower than the client's abdomen.

A nurse is assessing a client who has manifestations characteristic of end-stage kidney disease (EKSD). Which of the following findings should the nurse expect? A. Moist/oily skin, Proteinuria, Marked azotemia. B. Crackles in the lungs, Proteinuria, Marked azotemia. C. Decreased potassium level, Proteinuria, Crackles in the lungs. D. Proteinuria, Marked azotemia, Moist oily skin.

B. Crackles in the lungs, Proteinuria, Marked azotemia.

A nurse is caring for a client who has rheumatoid arthritis. The nurse should identify that which of the following laboratory tests are used to diagnose this disease? A. Urinalysis B. Erythrocyte sedimentation rate (ESR) C. BUN D. Antinuclear antibody (ANA) titer E. C-reactive protein

B. Erythrocyte sedimentation rate (ESR) D. Antinuclear antibody (ANA) titer E. C-reactive protein

A nurse is reviewing the laboratory results of a middle-aged adult client who has Stage 4 chronic kidney disease. Which of the following findings should the nurse expect? A. Blood urea nitrogen (BUN) 15 milligrams per deciliter (mg/dL) B. Glomerular filtration rate (GFR) 20 milliliters per minute (mL/min) C. Creatinine 1.1 milligrams per deciliter (mg/dL) D. Potassium 5.0 millequivalents per liter (mEq/L)

B. Glomerular filtration rate (GFR) 20 milliliters per minute (mL/min)

A client treated with bumetanide (Bumex) has a prescription for magnesium after laboratory studies revealed Mg 0.8 mEq/L. The nurse knows that IV magnesium is used to treat which of the following rhythms? A. Third-degree heart block B. Torsade's de pointes C. Multifocal atrial tachycardia D. Atrial fibrillation

B. Torsade's de pointes

A nurse is caring for a client who has been admitted after a stroke (CVA). Which of the following does the nurse understand may reflect urinary retention in this client? A. Decreased urine production. B. Oliguria C. Incontinence D. Increased blood urea nitrogen

C. Incontinence

A nurse is assessing a client who has experienced a rapid loss of renal function and is determined to be in the prerenal stage of acute kidney injury (AKI). Which of the following findings should the nurse expect? A. Reduced BUN level B. Elevated cardiac enzymes C. Reduced urine output D. Elevated serum creatinine level E. Increased sodium in the urine

C. Reduced urine output D. Elevated serum creatinine level

A nurse is teaching a newly licensed nurse about hemodialysis for clients who have chronic kidney disease. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? A. "Hemodialysis restores kidney function." B. "Hemodialysis requires the placement of a catheter into the peritoneal space." C. "Hemodialysis allows an unrestricted diet." D. "Hemodialysis returns a balance to serum electrolytes."

D. "Hemodialysis returns a balance to serum electrolytes."

A client who is to begin continuous ambulatory peritoneal dialysis asks the nurse what this entails. What information should the nurse include when answering the client's question? A. Hemodialysis and peritoneal dialysis will be done together. B. Peritoneal dialysis is performed in an ambulatory care clinic. C. About a quarter of a liter of dialysate is maintained in the peritoneal cavity D. Constant contact is maintained between the dialysate and the peritoneal membrane.

D. Constant contact is maintained between the dialysate and the peritoneal membrane.

A healthcare provider orders a sodium polystyrene sulfonate retention enema for a client. What is the most likely reason for this enema? A. To reduce the number of bacteria in the colon before surgery. B. To relieve constipation by drawing fluid into the colon and stimulating evacuation C. To provide contrast for X-rays of the colon. D. To remove excess potassium in hyperkalemia.

D. To remove excess potassium in hyperkalemia.

A nurse is teaching a client who has chronic kidney disease (CKD) about dietary management. What should the nurse include in the teaching? Restrict protein intake. Maintain a high phosphorus diet. Increase intake of foods high in potassium Calcium intake should be increased.

Restrict protein intake.