Chronic Kidney Disease

The nurse is admitting a client diagnosed with acute renal failure (ARF). Which question is most important for the nurse to ask during the admission interview?

"What over-the-counter medications do you take regularly?"

The nurse is discussing kidney transplants with clients at a dialysis center. Which population is less likely to participate in organ donation?

African American

The nurse is caring for a client who has received a kidney transplant. The client complains of having fever, chills, and dysuria over the past 2 days. What is the first action that the nurse should take?

Assess temperature and initiate workup to rule out infection.

The nurse is caring for a client diagnosed with renal calculi who is scheduled for a 24-hour urine specimen collection. Which interventions should the nurse implement? Select all that apply.

Collect all urine during 24 hours and place in appropriate specimen container Instruct the client to urinate, and discard this urine when starting collection. Check for the ordered diet and medication modifications.

The nurse is developing a plan of care for a client diagnosed with Acute Renal Failure (ARF). Which statement is an appropriate outcome for the client?

Electrolytes are within normal limits.

The nurse is developing a nursing care plan for the client diagnosed with Chronic Kidney Disease. Which nursing problem is priority for the client?

Excess fluid volume.

The nurse is caring for a client diagnosed with rule-out Acute Renal Failure (ARF). The nurse understands that which of the following conditions predisposes the client to developing prerenal failure?

Hypotension

The client receiving hemodialysis is being discharged home from the dialysis center. Which instruction should the nurse teach the client?

Keep fingernails short and try not to scratch the skin.

The nurse is assessing the patency of a newly placed arteriovenous graft for dialysis. The nurse understands that the correct mode of assessment is which of the following?

Listen with a stethoscope over the graft to detect bruit

Which clinical manifestations should the nurse expect to assess for the client diagnosed with a ureteral renal stone?

Nausea; vomiting; pallor; and cool, clammy skin.

The nurse is caring for a client who is receiving dialysis. The client is complaining of being dizzy and light-headed. Which action should the nurse implement first?

Place the client in the Trendelenburg position

The nurse is caring for an ESRD patient receiving hemodialysis who is considering asking a relative to donate a kidney for transplantation. In assisting the patient to make a decision about treatment, the nurse informs the patient of which of the following information?

Successful transplantation usually provides better quality of life than that offered by dialysis

The nurse in the dialysis center is initiating the morning dialysis run. Which client should the nurse assess first?

The client who does not have a palpable thrill or auscultated bruit.

The client diagnosed with Chronic Kidney Disease is receiving peritoneal dialysis. Which assessment data warrant immediate intervention by the nurse?

The dialysate instilled was 1,500 mL and removed was 1,500 mL.

The nurse has attended a conference on peritoneal dialysis. The nurse understands that a major advantage of peritoneal dialysis is which of the following?

The diet is less restricted and dialysis can be performed at home.