Quiz #2
Comment patient makes about fluid restrictions is good?
i will make a list of my favorite beverages
...
A client who has a temperature of 39 (102F)
A nurse is reviewing the medical records of four clients who have an acid base imbalance. The nurse should recognize what client is as risk for metabolic acidosis?
A client who has diarrhea
A nurse is caring for a client who has a new arteriovenous graft in his left forearm. What should the nurse do to assess the patency of this graft?
Auscultate the site for a bruit
A nurse is discussing laboratory values associated with the renal system with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the value?
Creatinine levels are increased in clients who have acute kidney injury.
...
Evaluate urine for the amount and for the specific gravity
A nurse is a community clinic is assessing an older adult client... should the nurse expect?
Furrows in the tongue
Manifestation of diequilibrium syndrome
Headache and restlessness
A nurse is reviewing the lab test results from a client who has prerenal acute kidney injury... imbalances should the nurse expect?
Hyperkalemia
A nurse is assessing a client who has fluid volume deficit. The nurse should expect which of the following findings?
Increased BUN
What should a nurse do after a patient has a renal biopsy?
Monitor for hematuria Check for flank pain
A nurse is caring for a client who is receiving peritoneal dialysis. The nurse should monitor for what sign of peritonitis?
Nausea and vomiting
A nurse is assisting in the planning of care for a client who is scheduled to have a renal biopsy. Which of the following should the nurse recommend to include? (Select all that apply)
Obtain a urine specimen prior to the procedure Obtain written, informed consent Maintain NPO status prior to the procedure Obtain coagulation studies
A nurse is assessing a client who has a urine output of 250mL in a 24-hr period. Which of the following should the nurse record in the patients electronic record?
Oliguria
What lab value is reduced by the process of diffusion during dialysis?
Potassium
What should a patient with CKD limit in their diet?
Protein Phosphorous Sodium
A nurse is teaching a client who has pre-dialysis end-stage kidney disease about...
Reduce the intake of foods high in potassium
A nurse is monitoring an older female client who had a MI.. the following findings should the nurse id as indicating an increased risk for acute kidney injury?
Serum creatinine 1.8mg/dL
a nurse is reviewing lab findings for 4 clients, which of the following clients has manifestations of acute kidney injury?
Serum creatinine 6 mg/dL
A nurse is caring for a client who has end-stage renal disease. Which of the following are expected findings?
Slurred speech Bone pain Pruritus
A nurse is assessing a client who has end-stage kidney disease and is receiving hemodialysis. Which of the following findings should the nurse identify as an indication the client is experiencing fluid overload?
The client has a 5lb weight gain since yesterday
...
Urine output is less than 400mL in 24 hr
What drug causes nephrotoxicity?
Vancomycin
What should the nurse do before getting a daily weight on a patient?
Weigh the client after they have voided
A nurse is assessing a client who is 2 weeks postoperative following a kidney transplant. Which is the following signs should the nurse identify as a possible organ rejection?
oliguria
A nurse is reviewing the ABG values of a client who has chronic kidney disease. Which of the following sets of ABGs should the nurse expect?
pH 7.25 HCO3 26 PaCO2 30
What ABG suggests the patient with acute kidney injury is in metabolic acidosis
pH 7.26 HCO3 14 PaCO2 30
A nurse is caring for a client who has chronic renal disease and is receiving therapy with epoetin alfa. Which of the following laboratory results should the nurse review for an indication of a therapeutic effect of the medication?
the hematocrit
Requirements of CAPD
follower fewer dietary and fluid restrictions than hemodialysis requires
What would be a contraindication for a kidney transplant?
Alcohol use disorder
A nurse is teaching a client who has kidney disease about limiting potassium in their diet. What foods should the nurse instruct the client to avoid?
Tomatoes Bananas Raisins
A nurse is reviewing the lab report of a client andnidentifies a serum potassium level of 6.8mEq/L. Which of the following medications should the nurse plan to administer?
sodium polystyrene
A nurse is caring for a client who will have blood sampling for serum creatinine level... responses should the nurse make?
"this test will tell your doctor how your kidneys are functioning"
A nurse is teachinga client who has chronic kidney failure about planning a lo... about protein?" Which of the following responses
"a low protein diet reduces the risk for uremia"
Expected finding of chronic kidney disease
BUN 45 mg/dL and creatinine 8 mg/dL
A nurse is providing dietary teaching for a client who takes furosemide. The nurse should recommend which of the foods as a good source of potassium?
Bananas
Contraindications for a kidney biopsy
Bleeding tendencies
Client collapses after activity on a hot day and high sodium
Dehydration
A nurse is caring for a client following his first hemodialysis treatment. The client... identify these findings as manifestations of which of the following complications?
Dialysis disequilibrium
creatinine clearance test
You will need to avoid rigorous exercise during the test (increases creatinine)