Quiz 3

A. nurse is assessing a client who has chronic kidney disease for fluid volume increase. Which of the following provides a reliable measure of fluid retention? A. Daily weight B. Sodium level C. Tissue turgor D. Intake and output

A. Daily weight

A nurse is teaching a client who has chronic kidney disease about limiting foods that are high in potassium. Which of the following foods should the nurse instruct the client to avoid? (Select all that apply.) A. Raisins B. Bananas C. Green Beans D. Asparagus E. Tomatoes

A. Raisins B. Bananas E. Tomatoes

A nurse is caring for a client who has progressing chronic kidney disease (CKD). Which of the following laboratory results would the nurse expect to find in the client's electronic health record? A. Urine albumin increasing B. Proteinuria decreasing, or decreased protein in the urine C. Glomerular filtration rate (GFR) increasing D. Creatinine decreasing

A. Urine albumin increasing

A nurse is caring for a client who has cirrhosis and a prothrombin time of 30 seconds. Which of the following medications should the nurse plan to administer? A. Vitamin K B. Heparin C. Warfarin D. Ferrous sulfate

A. Vitamin K

A nurse is teaching a client who has acute kidney disease about fluid restrictions. Which of the following statements by the client should the nurse identify as understanding of the teaching? A. "I should consume most of the fluid during the evening." B. "I will make a list of my favorite beverages." C. "I will put beverages in large containers to give the appearance of drinking a lot." D. "I will not add ice cream to the amount of fluid intake."

B. "I will make a list of my favorite beverages."

A 6-week-old infant is brought to the pediatric clinic with symptoms of jaundice, pruritus, and a palpable, enlarged liver. The caregiver reports chalk-colored stools and dark urine. Which diagnostic test is most likely to be performed initially to confirm the presence of biliary atresia? A. Abdominal ultrasound B. Radioactive scan of the liver (HDA) C. Liver biopsy D. X-ray of the abdomen

B. Radioactive scan of the liver (HDA)

A nurse is teaching a client who has chronic kidney disease about the process of continous ambulatory peritoneal dialysis (CAPD). Which of the following information should the nurse include in the teaching? A. CAPD filters the client's blood through an artificial device called a dialyzer B. CAPD is the dialysis treatment of choice for clients who has a history of abdominal surgery C. CAPD requires the client to follow fewer dietary and fluid restrictions than hemodialysis requires D. CAPD requires a rigid schedule of exchange times

C. CAPD requires the client to follow fewer dietary and fluid restrictions than hemodialysis requires

A nurse is assessing a client who has cirrhosis. Which of the following is an expected finding for this client? A. Moist skin B. Spider angiomas C. Tarry stools D. Blood in the urine

B. Spider angiomas

A nurse is preparing discharge instructions for a client who has cirrhosis of the liver. Which of the following statements should be included in the education materials? A. "Increase your activity as much as possible. You need to remain active." B. "Take pain-relief medication such as acetaminophen to relieve discomfort associated with ascites" C. "Avoid high-sodium foods such as canned soups/vegetables, processed meats, and prepackaged frozen dinners." D. "Ensure that you eat three large meals per day to keep your calories up."

C. "Avoid high-sodium foods such as canned soups/vegetables, processed meats, and prepackaged frozen dinners."

A nurse is caring for a patient with acute kidney injury (AKI) in the oliguric phase who is not currently on dialysis. What nutritional guidance is appropriate for this patient? A. Administer total parenteral nutrition (TPN) to ensure adequate nutrition B. Regulate sodium intake according to the stage of kidney injury C. Limit dietary intake of potassium, phosphate, and magnesium D. Encourage a high-protein diet to address the increased protein breakdown

C. Limit dietary intake of potassium, phosphate, and magnesium

A nurse is reviewing the laboratory data of a client who has acute pancreatitis. The nurse should expect to find an elevation of which of following values? A. Calcium B. RBC count C. Magnesium D. Amylase

D. Amylase

A nurse is caring for a client who has a history of alcohol use disorder and reports bruising and frequent nosebleeds. The nurse should recognize that this client is manifesting which of the following conditions? A. Malnutrition B. Hepatitis A C. Diabetes D. Cirrhosis

D. Cirrhosis

A nurse is providing education to the parent of an infant who is newly diagnosed with biliary atresia. The nurse should teach the parent that which of the following is a clinical manifestation associated with the illness? A. Tar-colored stools B. Rapid weight gan C. Lethargy D. Dark Urine

D. Dark Urine

A nurse is administering an IM injection to a client who has hepatitis C. Before placing the syringe and needle in a puncture-resistant container. Which of the following actions should the nurse take? A. Recap the needle B. Place the cap on the bedside table and slide the needle into the cap C. Wrap the needle with gauze. D. Dispose of the needle uncapped

D. Dispose of the needle uncapped

A nurse is monitoring a client who has acute kidney injury. Which of the following laboratory findings should the nurse expect? A. Hypokalemia B. Metabolic alkalosis C. Hypercalcemia D. Elevated BUN

D. Elevated BUN

A nurse is planning care for a client who has hepatitis B. Which of the following interventions should the nurse include in the plan? A. Administer antibiotics B. Provide a diet high in fat C. Restrict fluids D. Encourage short periods of ambulation

D. Encourage short periods of ambulation

A nurse is caring for a client who acquired hepatitis A from consuming contaminated food. The client's mouth is an example of which of the following links in the chain of infection? A. Infectious agent B. Reservoir C. Susceptible host D. Portal of entry

D. Portal of entry

A nurse is caring for a patient with impaired liver function. Which blood clotting factors are primarily produced by the liver? A. Antithrombin and protein C B. Platelets and fibrinogen C. Factor VII and von Willebrand factor D. Prothrombin and fibrinogen

D. Prothrombin and fibrinogen

A nurse is admitting a client who has hepatitis C. Which of the following precautions should the nurse implement? A. Droplet B. Contact C. Airborne D. Standard

D. Standard

A nurse is caring for a client who reports to the clinic for laboratory tests. The client has an acute kidney injury caused by acute tubular necrosis and asks why glomerular filtration rate keeps decreasing. Which of the following pathophysiological changes occuring in the kidney should the nurse explain as the cause of decrease? A. The glomerular filtration rate decreases because inflammatory cells invade the already damaged kidneys B. The glomerular filtration rate decreases because there is a reduction of blood flow to the kidneys C. The glomerular filtration rate decreases because there is obstruction leading to the filtration system backing up and eventually shutting the kidneys down D. The glomerular filtration rate decreases because there is injury to the renal tubular cells.

D. The glomerular filtration rate decreases because there is injury to the renal tubular cells.