Question 1

A 62-year-old female patient has been hospitalized for 8 days with acute kidney injury (AKI) caused by dehydration.Which information will be most important for the nurse to report to the health care provider?

Accepted Answer

A)   The creatinine level is 3.0 mg/dL.
B)   Urine output over an 8-hour period is 2500 mL.
C)   The blood urea nitrogen (BUN)  level is 67 mg/dL.
D)   The glomerular filtration rate is <30 mL/min/1.73m2.

Question 2

Sodium polystyrene sulfonate (Kayexalate) is ordered for a patient with hyperkalemia.Before administering the medication,the nurse should assess the

Accepted Answer

A)   bowel sounds.
B)   blood glucose.
C)   blood urea nitrogen (BUN) .
D)   level of consciousness (LO
C)  .

Question 3

A 74-year-old who is progressing to stage 5 chronic kidney disease asks the nurse,"Do you think I should go on dialysis? Which initial response by the nurse is best?

Accepted Answer

A)   "It depends on which type of dialysis you are considering."
B)   "Tell me more about what you are thinking regarding dialysis."
C)   "You are the only one who can make the decision about dialysis."
D)   "Many people your age use dialysis and have a good quality of life."

Question 4

A patient will need vascular access for hemodialysis.Which statement by the nurse accurately describes an advantage of a fistula over a graft?

Accepted Answer

A)   A fistula is much less likely to clot.
B)   A fistula increases patient mobility.
C)   A fistula can accommodate larger needles.
D)   A fistula can be used sooner after surgery.

Question 5

After the insertion of an arteriovenous graft (AVG) in the right forearm,a 54-year-old patient complains of pain and coldness of the right fingers.Which action should the nurse take?

Accepted Answer

A)   Teach the patient about normal AVG function.
B)   Remind the patient to take a daily low-dose aspirin tablet.
C)   Report the patient's symptoms to the health care provider.
D)   Elevate the patient's arm on pillows to above the heart level.

Question 6

Which menu choice by the patient who is receiving hemodialysis indicates that the nurse's teaching has been successful?

Accepted Answer

A)   Split-pea soup, English muffin, and nonfat milk
B)   Oatmeal with cream, half a banana, and herbal tea
C)   Poached eggs, whole-wheat toast, and apple juice
D)   Cheese sandwich, tomato soup, and cranberry juice

Question 7

A patient with diabetes who has bacterial pneumonia is being treated with IV gentamicin (Garamycin) 60 mg IV BID.The nurse will monitor for adverse effects of the medication by evaluating the patient's

Accepted Answer

A)   blood glucose.
B)   urine osmolality.
C)   serum creatinine.
D)   serum potassium.

Question 8

Which information will be included when the nurse is teaching self-management to a patient who is receiving peritoneal dialysis ?

Accepted Answer

A)   Avoid commercial salt substitutes.
B)   Drink 1500 to 2000 mL of fluids daily.
C)   Take phosphate-binders with each meal.
D)   Choose high-protein foods for most meals.
E)   Have several servings of dairy products daily.

Question 9

During routine hemodialysis,the 68-year-old patient complains of nausea and dizziness.Which action should the nurse take first?

Accepted Answer

A)   Slow down the rate of dialysis.
B)   Check patient's blood pressure (BP) .
C)   Review the hematocrit (Hct)  level.
D)   Give prescribed PRN antiemetic drugs.

Question 10

A 72-year-old patient with a history of benign prostatic hyperplasia (BPH) is admitted with acute urinary retention and elevated blood urea nitrogen (BUN) and creatinine levels.Which prescribed therapy should the nurse implement first?

Accepted Answer

A)   Insert urethral catheter.
B)   Obtain renal ultrasound.
C)   Draw a complete blood count.
D)   Infuse normal saline at 50 mL/hour.

Question 11

A 64-year-old male patient who has had progressive chronic kidney disease (CKD) for several years has just begun regular hemodialysis.Which information about diet will the nurse include in patient teaching?

Accepted Answer

A)   Increased calories are needed because glucose is lost during hemodialysis.
B)   Unlimited fluids are allowed because retained fluid is removed during dialysis.
C)   More protein is allowed because urea and creatinine are removed by dialysis.
D)   Dietary potassium is not restricted because the level is normalized by dialysis.

Question 12

When caring for a patient with a left arm arteriovenous fistula,which action will the nurse include in the plan of care to maintain the patency of the fistula?

Accepted Answer

A)   Auscultate for a bruit at the fistula site.
B)   Assess the quality of the left radial pulse.
C)   Compare blood pressures in the left and right arms.
D)   Irrigate the fistula site with saline every 8 to 12 hours.

Question 13

After receiving change-of-shift report,which patient should the nurse assess first?

Accepted Answer

A)   Patient who is scheduled for the drain phase of a peritoneal dialysis exchange
B)   Patient with stage 4 chronic kidney disease who has an elevated phosphate level
C)   Patient with stage 5 chronic kidney disease who has a potassium level of 3.4 mEq/L
D)   Patient who has just returned from having hemodialysis and has a heart rate of 124/min

Question 14

The nurse is planning care for a patient with severe heart failure who has developed elevated blood urea nitrogen (BUN) and creatinine levels.The primary collaborative treatment goal in the plan will be

Accepted Answer

A)   augmenting fluid volume.
B)   maintaining cardiac output.
C)   diluting nephrotoxic substances.
D)   preventing systemic hypertension.

Question 15

The nurse is assessing a patient 4 hours after a kidney transplant.Which information is most important to communicate to the health care provider?

Accepted Answer

A)   The urine output is 900 to 1100 mL/hr.
B)   The patient's central venous pressure (CVP)  is decreased.
C)   The patient has a level 7 (0 to 10 point scale)  incisional pain.
D)   The blood urea nitrogen (BUN)  and creatinine levels are elevated.

Question 16

A patient has arrived for a scheduled hemodialysis session.Which nursing action is most appropriate for the registered nurse (RN) to delegate to a dialysis technician?

Accepted Answer

A)   Teach the patient about fluid restrictions.
B)   Check blood pressure before starting dialysis.
C)   Assess for causes of an increase in predialysis weight.
D)   Determine the ultrafiltration rate for the hemodialysis.

Question 17

A patient in the oliguric phase after an acute kidney injury has had a 250 mL urine output and an emesis of 100 mL in the past 24 hours.What is the patient's fluid restriction for the next 24 hours?

Accepted Answer

950 mL
The general rule for ca...

Question 18

Which action by a 70-year-old patient who is using peritoneal dialysis (PD) indicates that the nurse should provide more teaching about PD?

Accepted Answer

A)   The patient leaves the catheter exit site without a dressing.
B)   The patient plans 30 to 60 minutes for a dialysate exchange.
C)   The patient cleans the catheter while taking a bath each day.
D)   The patient slows the inflow rate when experiencing abdominal pain.

Question 19

A 55-year-old patient with end-stage kidney disease (ESKD) is scheduled to receive a prescribed dose of epoetin alfa (Procrit) .Which information should the nurse report to the health care provider before giving the medication?

Accepted Answer

A)   Creatinine 1.6 mg/dL
B)   Oxygen saturation 89%
C)   Hemoglobin level 13 g/dL
D)   Blood pressure 98/56 mm Hg

Exam 47: Nursing Management: Acute Kidney Injury and Chronic Kidney Disease

The nurse is assessing a patient 4 hours after a kidney transplant.Which information is most important to communicate to the health care provider?

Correct Answer
verified

During routine hemodialysis,the 68-year-old patient complains of nausea and dizziness.Which action should the nurse take first?

Correct Answer
verified

A patient in the oliguric phase after an acute kidney injury has had a 250 mL urine output and an emesis of 100 mL in the past 24 hours.What is the patient's fluid restriction for the next 24 hours?

Correct Answer
verified
950 mL
The general rule for ca...
View Answer

Which menu choice by the patient who is receiving hemodialysis indicates that the nurse's teaching has been successful?

Correct Answer
verified

A patient with diabetes who has bacterial pneumonia is being treated with IV gentamicin (Garamycin) 60 mg IV BID.The nurse will monitor for adverse effects of the medication by evaluating the patient's

Correct Answer
verified

When caring for a patient with a left arm arteriovenous fistula,which action will the nurse include in the plan of care to maintain the patency of the fistula?

Correct Answer
verified

A 64-year-old male patient who has had progressive chronic kidney disease (CKD) for several years has just begun regular hemodialysis.Which information about diet will the nurse include in patient teaching?

Correct Answer
verified

A patient has arrived for a scheduled hemodialysis session.Which nursing action is most appropriate for the registered nurse (RN) to delegate to a dialysis technician?

Correct Answer
verified

Which action by a 70-year-old patient who is using peritoneal dialysis (PD) indicates that the nurse should provide more teaching about PD?

Correct Answer
verified

Which information will be included when the nurse is teaching self-management to a patient who is receiving peritoneal dialysis ?

Correct Answer
verified

A 55-year-old patient with end-stage kidney disease (ESKD) is scheduled to receive a prescribed dose of epoetin alfa (Procrit) .Which information should the nurse report to the health care provider before giving the medication?

Correct Answer
verified

A 62-year-old female patient has been hospitalized for 8 days with acute kidney injury (AKI) caused by dehydration.Which information will be most important for the nurse to report to the health care provider?

Correct Answer
verified

The nurse is planning care for a patient with severe heart failure who has developed elevated blood urea nitrogen (BUN) and creatinine levels.The primary collaborative treatment goal in the plan will be

Correct Answer
verified

Sodium polystyrene sulfonate (Kayexalate) is ordered for a patient with hyperkalemia.Before administering the medication,the nurse should assess the

Correct Answer
verified

After receiving change-of-shift report,which patient should the nurse assess first?

Correct Answer
verified

A 72-year-old patient with a history of benign prostatic hyperplasia (BPH) is admitted with acute urinary retention and elevated blood urea nitrogen (BUN) and creatinine levels.Which prescribed therapy should the nurse implement first?

Correct Answer
verified

A 74-year-old who is progressing to stage 5 chronic kidney disease asks the nurse,"Do you think I should go on dialysis? Which initial response by the nurse is best?

Correct Answer
verified

A patient will need vascular access for hemodialysis.Which statement by the nurse accurately describes an advantage of a fistula over a graft?

Correct Answer
verified

After the insertion of an arteriovenous graft (AVG) in the right forearm,a 54-year-old patient complains of pain and coldness of the right fingers.Which action should the nurse take?

Correct Answer
verified

Exam 47: Nursing Management: Acute Kidney Injury and Chronic Kidney Disease

The nurse is assessing a patient 4 hours after a kidney transplant.Which information is most important to communicate to the health care provider?

Correct AnswerverifiedShow Answer

During routine hemodialysis,the 68-year-old patient complains of nausea and dizziness.Which action should the nurse take first?

Correct AnswerverifiedShow Answer

A patient in the oliguric phase after an acute kidney injury has had a 250 mL urine output and an emesis of 100 mL in the past 24 hours.What is the patient's fluid restriction for the next 24 hours?

Correct Answerverified950 mLThe general rule for ca...View AnswerShow Answer

Which menu choice by the patient who is receiving hemodialysis indicates that the nurse's teaching has been successful?

Correct AnswerverifiedShow Answer

A patient with diabetes who has bacterial pneumonia is being treated with IV gentamicin (Garamycin) 60 mg IV BID.The nurse will monitor for adverse effects of the medication by evaluating the patient's

Correct AnswerverifiedShow Answer

When caring for a patient with a left arm arteriovenous fistula,which action will the nurse include in the plan of care to maintain the patency of the fistula?

Correct AnswerverifiedShow Answer

A 64-year-old male patient who has had progressive chronic kidney disease (CKD) for several years has just begun regular hemodialysis.Which information about diet will the nurse include in patient teaching?

Correct AnswerverifiedShow Answer

A patient has arrived for a scheduled hemodialysis session.Which nursing action is most appropriate for the registered nurse (RN) to delegate to a dialysis technician?

Correct AnswerverifiedShow Answer

Which action by a 70-year-old patient who is using peritoneal dialysis (PD) indicates that the nurse should provide more teaching about PD?

Correct AnswerverifiedShow Answer

Which information will be included when the nurse is teaching self-management to a patient who is receiving peritoneal dialysis ?

Correct AnswerverifiedShow Answer

A 55-year-old patient with end-stage kidney disease (ESKD) is scheduled to receive a prescribed dose of epoetin alfa (Procrit) .Which information should the nurse report to the health care provider before giving the medication?

Correct AnswerverifiedShow Answer

A 62-year-old female patient has been hospitalized for 8 days with acute kidney injury (AKI) caused by dehydration.Which information will be most important for the nurse to report to the health care provider?

Correct AnswerverifiedShow Answer

The nurse is planning care for a patient with severe heart failure who has developed elevated blood urea nitrogen (BUN) and creatinine levels.The primary collaborative treatment goal in the plan will be

Correct AnswerverifiedShow Answer

Sodium polystyrene sulfonate (Kayexalate) is ordered for a patient with hyperkalemia.Before administering the medication,the nurse should assess the

Correct AnswerverifiedShow Answer

After receiving change-of-shift report,which patient should the nurse assess first?

Correct AnswerverifiedShow Answer

A 72-year-old patient with a history of benign prostatic hyperplasia (BPH) is admitted with acute urinary retention and elevated blood urea nitrogen (BUN) and creatinine levels.Which prescribed therapy should the nurse implement first?

Correct AnswerverifiedShow Answer

A 74-year-old who is progressing to stage 5 chronic kidney disease asks the nurse,"Do you think I should go on dialysis? Which initial response by the nurse is best?

Correct AnswerverifiedShow Answer

A patient will need vascular access for hemodialysis.Which statement by the nurse accurately describes an advantage of a fistula over a graft?

Correct AnswerverifiedShow Answer

After the insertion of an arteriovenous graft (AVG) in the right forearm,a 54-year-old patient complains of pain and coldness of the right fingers.Which action should the nurse take?

Correct AnswerverifiedShow Answer

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified
950 mL
The general rule for ca...
View Answer

Correct Answer
verified

Correct Answer
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Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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