ATI questions Exam 2

A nurse is assessing a client who is 1 week post-op following a living donor kidney transplant. Which of the following findings indicates the client is experiencing acute kidney rejection? A. blood pressure 160/90 B. creatinine 0.8 mg/dL C. sodium 137 mg/dL D. urinary output 100 mL/hour

A

A nurse is caring for a client who has manifestations of ATN following a kidney transplant. Which of the following interventions should the nurse anticipate? A. Hemodialysis B. Biopsy C. Immunosuppression D. Balloon angioplasty E. Surgical repair

A,B,C

A nurse is caring for a child who has acute glomerulonephritis. Which of the following actions should the nurse take? A. maintain strict bed rest B. check BP every 4 hours C. administer albumin every 8 hours D. place child on low carb diet

B

A nurse is caring for a client who has acute glomerulonephritis and a prescription for furosemide. The nurse should monitor the client for which of the following therapeutic effects on this medication A. Hypotension B. Diuresis C. Increased blood glucose D. Weight gain

B

A nurse is caring for a client who has chronic glomerulonephritis with oliguria. For which of the following electrolyte imbalances should the nurse monitor? A. Hypercalcemia B. Hyperkalemia C. Hypomagnesemia D. Hypophosphatemia

B

A nurse is preparing an in-service program about the stages of AKI. Which of the following pieces of information should the nurse include about prerenal azotemia? A. Prerenal azotemia begins prior to the onset of symptoms B. Interference with renal perfusion causes prerenal azotemia C. Prerenal azotemia is irreversible, even in early stages D. Infections and tumors cause this

B

A nurse is providing discharge teaching to a client who had a kidney transplant and has a prescription for oral cyclosporine. Which of the following statements by the client indicates an understanding of the teaching A. i will be able to stop taking this within 6 months after my surgery B. i am likely to develop high BP while taking this medication C. i am likely to lose my hair while taking this medication D. i am taking this to boost my immune system

B

A nurse is providing teaching about food-drug interactions to a client who is prescribed sirolimus following a kidney transplant. Which of the following pieces of information should the nurse include in the teaching? A. increase intake of high-fat foods B. avoid eating grapefruit while taking C. Drink apple juice just before dosing D. reduce intake of gluten

B

A nurse is providing teaching for a client who has received a liver transplant and has a prescription to transition from cyclosporine to tacrolimus. Which of the following instructions should the nurse include in the teaching? A. Take both meds together for 72 hours then stop taking the cyclosporine B. stop taking cyclosporine for 24 hours then begin taking the tacrolimus C. alternate mediations for 48 hours then only take tacrolimus D. if adverse reactions to the tacrolimus occur, stop taking it and restart cyclosporine

B

A nurse is teaching a client who had a kidney transplant surgery about immunosuppressive medications. Which of the following adverse effects of these medications should the nurse include in the teaching? A. increased urinary output B. increased susceptibility to infection C. increased hair loss D. increased risk of autoimmune disease

B

A nurse is caring for a client who has glomerulonephritis. Which of the following action should the nurse take? A. monitor the BP twice daily B. maintain the child on bed rest for 3 days C. weigh the client once daily D. increase the child's daily intake of sodium

C

A nurse is caring for a client who is in the oliguric-anuric stage of AKI. The client reports diarrhea, a dull headache, palpitations, and muscle tingling/weakness. Which of the following actions should the nurse take first? A. Admin analgesic B. Check electrolytes C. Measure weight D. Restrict protein intake

C

A nurse is caring for a school-age child who has glomerulonephritis. The child has decreased urinary output and a BP of 160/78 and is receiving hydralazine. Which of the following lunch choices should the nurse recommend? A. 1 hot dog, 22 potato chips, 120 mL of orange juice B. 1 sandwich with lettuce, tomato, and 4 slices of bacon; a small apple; and 240 oz of milk C. 3 oz of grilled chicken, 1 cup of sliced pear, and 120 mL of apple juice D. 1 cup of cottage cheese, a small banana, and 240 mL of soda

C

The nurse is caring for a client who is receiving 24-hour total parenteral nutrition (TPN) via a central line at 54 ml/hr. When initially assessing the client, the nurse notes that the TPN solution has run out and the next TPN solution is not available. What immediate action should the nurse take? A. Infuse normal saline at a keep vein open rate. B. Discontinue the IV and flush the port with heparin. C. Infuse 10 percent dextrose and water at 54 ml/hr. D. Obtain a stat blood glucose level and notify the healthcare provider.

C

A nurse is assessing a client who has AKI. According to the RIFLE classification system, which of the following findings indicates that the client has end-stage kidney disease A. <0.5 ml/kg of urine output in 12 hours B. no urine output in 12 hours C. no urine output without renal replacement therapy for 4-12 weeks D. no urine output without renal replacement therapy for more than 3 months

D

A nurse is caring for a school-aged child who has acute post-streptococcal glomerulonephritis. Which of the following manifestations should the nurse expect? A. hypotension B. elevated serum lipid level C. decreased serum potassium level D. hematuria

D

A nurse is caring for an 8 year old child who has acute glomerulonephritis. Which of the following findings should the nurse expect? A. Hypotension B. Stomatitis C. Bloody Diarrhea D. Periorbital edema

D

A nurse is preparing to obtain antistreptolysin titer from a child who has acute glomerulonephritis. The child's parent asks the nurse to explain the purpose of the test. Which of the following responses should the nurse provide? A. the test determines the level of ABX in your child's blood B. this test tells us if your child ever had measles C. the test verifies the amount of albumin in your child's blood D. the test shows us if your child had a recent strep infection

D