Renal/Immune Practice Q’s - Alicia study sesh 10/23

B

A client receiving chemotherapy also takes a steroid daily. The clients white blood cell count is 3600 per cubic millimeter and red blood cell count is 4.5 million. Which instruction would the nurse teach this client? A. Omit the daily dose of prednisone. B. Avoid large crowds and persons with infections. C. Shave with an electric shaver rather than a safety razor. D. Increase the intake of high protein foods and red meats.

D

A client who has a positive test for HIV antibodies is admitted to the hospital with pneumocystis jiroveci pneumonia (PCP) and a CD4+ T cell count of less than 200 cells. Based on diagnostic criteria, established by the centers for disease, control, and prevention, which statement by the nurse is correct? A. The client will develop symptomatic HIV infection within one year. B. The client meets the criteria for a diagnosis of acute HIV infection. C. The client will be diagnosed with asymptomatic chronic HIV infection. D. The client has developed acquired immunodeficiency syndrome.

A

A client who has cancer and is receiving chemotherapy presents to the emergency department after vomiting, bright red blood. Which intervention will the nurse implement first? A. Start an IV of 0.9% sodium chloride with an 18 gauge intervenous catheter. B. Check to see which chemotherapy agent the client has received. C. Investigate to see whether the client has a do not resuscitate order written D. Contact the oncologist to determine what lab work to order.

C

A client who is diagnosed with acquired immunodeficiency syndrome tells the nurse, " I feel obsessed with Barbara thoughts about dying." Which response by the nurse is appropriate? A. Thinking about dying will not improve the course of AIDs B. Do you think that taking an antidepressant might be helpful? C. Tell me more about the thoughts you're having. D. It is important to focus on the good things about your life now.

A

In clients with HIV, which potential complication is most important for the nurse to teach prevention strategies? A. Infection B. Depression C. Social isolation. D. Kaposi's sarcoma.

D

The primary healthcare provider for a client with chronic kidney disease prescribed immediate hemodialysis for the first time. Which clinical manifestation indicates the need for immediate hemodialysis in this client? A. Ascites B. Acidosis. C. Hypertension. D. Hyperkalemia.

C

Which sign and symptoms associated a complication with chronic kidney disease while undergoing peritoneal dialysis? A. Petechiae. B. Abdominal bruit. C. Cloudy returned dyalysate D. Increased blood glucose level.

B, D

A client with a human immunodeficiency virus infection reports genital discharge associated with irritation, pain and itching. Which actions of the client might have led to this condition? Select all that apply. A. Taking iron supplements. B. Wearing tight jean pants. C. Performing Keagle exercises. D. Using antibiotic medication.

D

A client with chronic kidney disease is admitted to the hospital with severe infection and anemia. The client reports feeling depressed and irritable. The clients boss asks the nurse about the anticipated plan of care. Which response with the nurse provide? A. The staff will provide total care because the infection causes severe fatigue. B. Mood elevators will be prescribed to improve the depression and irritability C. Vitamin B 12 will be prescribed for the anemia and the stools will be dark. D. Protein foods will be restricted so the kidneys can clear the waste products.

D

A client with chronic kidney disease selects treatment using continuous, ambulatory peritoneal dialysis. Which statement indicates the client understand the purpose of this therapy? A. Treatment provide continuous contact of dialyzer and blood to clear dachshunds by ultrafiltration. B. The treatment exchanges and cleanses blood, by correction of electrolyte, an excretion of creatinine. C. The treatment decreases the need for a mobility because the fluids clear the toxins in short and intermittent periods. D. The treatment uses the peritoneum as a semi permeable membrane to clear toxins by osmosis and diffusion.

D

After receiving change of shift report which client should the nurse assess first? A. Client who is scheduled for the drain phase of a peritoneal dialysis exchange B. Client with stage four CKD who has a phosphate level of 4.8. C. Client with stage five chronic kidney disease who has a potassium level of 3.4. D. Client who has returned from having hemodialysis with a heart rate of 124 bpm

C

After the insertion of a AV graft in the right forearm, a client complains of pain and coldness in the right fingers. Which action should the nurse take? A. Teaching a client about normal AVG function. B. Remind the client to take a daily low dose of aspirin tablet. C. Report the client symptoms to the provider. D. Elevate the clients right arm on a pillow above the level of the heart.

A, C, D, E

The nurse has taught a client with chronic renal disease about dietary choices. Which of the following statements indicate additional teaching is needed? Select all that apply. A. I'm so glad I can use salt substitute on my food. B. I will not eat potatoes or bananas for breakfast anymore. C. Dried apricots and raisins will be a very good snack for me. D. I will eliminate all protein from my diet. E. I will replace red meat with sardines and salmon F. My partner and I will eat more apples and cucumbers.

All of the above

The nurse is providing care for a client following an initial hemodialysis treatment. To assess for a life-threatening complication the nurse should observe for which of the following? Select all that apply. A. Headache B. Vomiting. C. Seizures D. Fatigue. E. Restlessness.

A, C

To reduce the incidence of HIV transmission which basic strategies would the nurse teach a health class? Select all that apply. A. Using condoms. B. Using separate toilets C. Practicing sexual abstinence. D. Preventing direct casual contacts. E. Sterilizing the household utensils.

C

Which intervention indicates miss information when providing care for clients with the HIV infection? A. I will ask the client to avoid exposure to new infectious agents. B. I will ask the client about and take a supplemental vitamins and micro nutrients. C. I will ask the client to avoid involvement in community activities. D. I will ask the client if he or she is up to date with recommended vaccines.