Prep U Quizzes - Elimination & Mobility
A 35-year-old client is diagnosed with acute kidney injury (AKI) and is started on hemodialysis. The client is concerned with the diagnosis and wants to know what to expect in the progression of this disorder. Which statement best addresses the client's concern? -"You will need to have a renal transplant to live a productive, healthy life." -"Acute kidney injury is abrupt in onset and often reversible if recognized early and treated appropriately." -"Once your condition improves you can be placed on peritoneal dialysis for the rest of your life." -"The occurrence of acute kidney injury will always eventually result in chronic renal failure."
"Acute kidney injury is abrupt in onset and often reversible if recognized early and treated appropriately."
A client with chronic renal failure comes to the clinic for a visit. During the visit, he complains of pruritus. Which suggestion by the nurse would be most appropriate? -"Try washing clothes with a strong detergent to ensure that all impurities are gone." -"Liberally apply alcohol to the areas of your skin where you itch the most." -"Keep your showers brief, patting your skin dry after showering." -"When you shower, use really warm water and an antibacterial soap."
"Keep your showers brief, patting your skin dry after showering."
A patient with Parkinson's disease is experiencing episodes of constipation that are becoming increasingly frequent and severe. The patient states that he has been achieving relief for the past few weeks by using OTC laxatives. How should the nurse respond? -"You should ideally be using herbal remedies rather than medications to promote bowel function." -"It's important to drink plenty of fluids while you're taking laxatives." "Make sure that you supplement your laxatives with a nutritious diet." -"Let's explore other options, because laxatives can have side effects and create dependency."
"Let's explore other options, because laxatives can have side effects and create dependency."
A client asks the nurse why epoetin alfa is administered during dialysis sessions. Which response by the nurse is accurate? -"The medication will assist in your activity level when you are not in the hospital." -"The medication is given to eliminate the rise of creatinine, a naturally occurring electrolyte excreted by the kidneys." -"The medication is a form of erythropoietin that stimulates red blood cell production." -"When clients are on a renal diet, this medication produces products to stimulate increased renal output."
"The medication is a form of erythropoietin that stimulates red blood cell production."
A female client has been prescribed ropinirole (Requip). She states, "I don't know why they are giving me this medicine. I don't have restless leg syndrome." What is the nurse's best response in teaching this client with newly diagnosed Parkinson's disease about ropinirole (Requip)? -"Ropinirole is used for restless leg syndrome and migraines, not parkinsonism." -"You are mistaken; ropinirole is not used for restless leg syndrome." -"Your health care provider must have written the prescription wrong. I will call her." -"You are right about ropinirole, but it is also used in early Parkinson's disease."
"You are right about ropinirole, but it is also used in early Parkinson's disease."
A home care nurse makes a visit to a client with Parkinson's disease who is being cared for by his spouse. During the visit, the spouse says, "I'm just so tired. I have to do just about everything for him." Which response by the nurse would be most appropriate? -"Are you upset about how your husband is doing?" -"You're doing a great job. Just keep it up." -"It must be difficult for you to see your husband like this." -"You sound a bit overwhelmed. Tell me more about what's happening."
"You sound a bit overwhelmed. Tell me more about what's happening."
A nurse is caring for a client with acute renal failure. The health care provider has prescribed a diuretic therapy for the client to promote dieresis. What intervention should the nurse perform to prevent the inconvenience caused by increased urination? -Ask the client to decrease fluid intake. -Encourage the client to exercise. -Administer the drug early in the day. -Gradually increase the drug dosage.
Administer the drug early in the day.
A client with a history of chronic renal failure receives hemodialysis treatments three times per week through an arteriovenous (AV) fistula in the left arm. Which intervention should the nurse include in the care plan? -Take the client's blood pressure in the left arm. -Keep the AV fistula site dry. -Keep the AV fistula wrapped in gauze. -Assess the AV fistula for a bruit and thrill.
Assess the AV fistula for a bruit and thrill.
A nurse is assessing a client with Parkinson's disease. The nurse determines that the client's drug therapy is effective when the client exhibits what? -Decreased tremors -Decreased aggression -Improved level of intellectual functioning -Improved short term memory
Decreased tremors
The client with chronic kidney disease is exhibiting signs of anemia. Which is the best nursing rationale for this symptom? -Diminished erythropoietin production -Electrolyte imbalances -Azotemia -Impaired immunologic response
Diminished erythropoietin production
Bradykinesia occurring in Parkinson disease places the Parkinson's client most at risk for: -Emotional dysfunction -Weight loss -Falls and injury -Incontinence
Falls and injury
A nurse is teaching the parents about the kidney transplant their child is going to receive. What would be included in the teaching? -Induction therapy medication will prevent infection with the transplant. -As long as the medications are used properly, the transplant will not be rejected. -Immunosuppression is common after a kidney transplant. -The child can stop medication after 3 months of therapy.
Immunosuppression is common after a kidney transplant.
A male client's physician orders levodopa for the treatment of the client's Parkinson's disease. The client asks the nurse whether the levodopa will cure his condition. Which is a correct statement about the effects of levodopa? -It is the treatment of last resort and may control his symptoms. -It will control the symptoms for 10 to 12 years. -It will cure the Parkinson's disease. -It does not alter the underlying disease process, but it may improve a client's quality of life.
It does not alter the underlying disease process, but it may improve a client's quality of life.
The most effective drug to treat major symptoms associated with Parkinson's is: -Levodopa. -Apomorphine. -MAO inhibitors. -Amantadine.
Levodopa
The nurse is providing client education to a client newly diagnosed with Parkinson disease. The nurse most accurately describes the disease progression as: -Parkinson's is a chronic condition and treatment aims to manage symptoms. -Parkinson's is an acute disorder that can be surgically corrected. -Parkinson's disease, while chronic, will likely improve over time. -Parkinson's has no known effective treatment.
Parkinson's is a chronic condition and treatment aims to manage symptoms.
After teaching an in-service program about nervous system conditions, the nurse determines that the teaching was successful when the group identifies which condition or disease as a group of symptoms involving motor movement characterized by tremors, rigidity, and bradykinesia? -Parkinsonism -Anxiety -Myasthenia gravis -Seizure disorder
Parkinsonism
A client taking carbidopa-levodopa for the treatment of Parkinson's disease reports blurred vision and the nurse observes that the client has worsening ataxia. Which nursing diagnosis should the nurse prioritize? -Ineffective role performance -Disturbed body image -Risk for injury -Impaired verbal communication
Risk for injury
A patient has just been diagnosed with Parkinson's disease and the nurse is planning the patient's subsequent care for the home setting. What nursing diagnosis should the nurse address when educating the patient's family? -Impaired spontaneous ventilation -Risk for infection -Unilateral neglect -Risk for injury
Risk for injury
A client with chronic renal failure is admitted with a heart rate of 122 beats/minute, a respiratory rate of 32 breaths/minute, a blood pressure of 190/110 mm Hg, jugular vein distention, and bibasilar crackles. Which nursing diagnosis takes highest priority for this client? -urinary retention -excess fluid volume -toileting self-care deficit -electrolyte disturbance
excess fluid volume
The nurse is caring for a 3-year-old child with acute kidney injury. Which laboratory finding should the nurse immediately report to the healthcare provider? -potassium level of 6.5 mEq/L (6.5 mmol/L) -sodium 130 mEq/L (130 mmol/L) -blood urea nitrogen (BUN) 40 mg/dL (urea 14.3 mmol/L) -creatinine 2.5 mg/dL (221 umol/L)
potassium level of 6.5 mEq/L (6.5 mmol/L)
A client diagnosed with acute kidney injury (AKI) has a serum potassium level of 6.5 mEq/L. The nurse anticipates administering: -IV dextrose 50% -Sorbitol -Calcium supplements -sodium polystyrene sulfonate (Kayexalate)
sodium polystyrene sulfonate (Kayexalate)
A client is admitted for treatment of chronic renal failure (CRF). The nurse knows that this disorder increases the client's risk of: -water and sodium retention secondary to a severe decrease in the glomerular filtration rate. -an increased serum calcium level secondary to kidney failure. -a decreased serum phosphate level secondary to kidney failure. -metabolic alkalosis secondary to retention of hydrogen ions.
water and sodium retention secondary to a severe decrease in the glomerular filtration rate.
