Question 1

Before administering sodium polystyrene sulfonate ( Kayexalate )  to a patient with hyperkalemia, the nurse should assess the

Accepted Answer

A)   blood urea nitrogen ( BUN )  and creatinine.
B)   blood glucose level.
C)   patient's bowel sounds.
D)   level of consciousness ( LOC ) .

Question 2

A patient who has acute glomerulonephritis is hospitalized with acute kidney injury (AKI)  and hyperkalemia. Which information will the nurse obtain to evaluate the effectiveness of the prescribed calcium gluconate IV?

Accepted Answer

A)   Urine output
B)   Calcium level
C)   Cardiac rhythm
D)   Neurologic status

Question 3

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)   Check the fistula site for a bruit and thrill.
B)   Assess the rate and 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 4

Which parameter will be most important for the nurse to consider when titrating the IV fluid infusion rate immediately after a patient has had kidney transplantation?

Accepted Answer

A)   Heart rate
B)   Blood urea nitrogen (BUN)  level
C)   Urine output
D)   Creatinine clearance

Question 5

The nurse is caring for a patient who had kidney transplantation several years ago. Which assessment finding may indicate that the patient is experiencing adverse effects to the prescribed corticosteroid?

Accepted Answer

A)   Joint pain
B)   Tachycardia
C)   Postural hypotension
D)   Increase in creatinine level

Question 6

When the nurse is caring for a patient who has been admitted with a severe crushing injury after an industrial accident, which laboratory result will be most important to report to the health care provider?

Accepted Answer

A)   Serum creatinine level 2.1 mg/dL
B)   Serum potassium level 6.5 mEq/L
C)   White blood cell count 11,500/µL
D)   Blood urea nitrogen (BUN)  56 mg/dL

Question 7

During hemodialysis, a patient complains of nausea and dizziness. Which action should the nurse take first?

Accepted Answer

A)   Slow down the rate of dialysis.
B)   Obtain blood to check the blood urea nitrogen (BUN)  level.
C)   Check the patient's blood pressure.
D)   Give prescribed PRN antiemetic drugs.

Question 8

A patient with severe heart failure develops elevated blood urea nitrogen (BUN)  and creatinine levels. The nurse will plan care to meet the goal of

Accepted Answer

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

Question 9

Two hours after a kidney transplant, the nurse obtains all of the following data when assessing the patient. 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 blood urea nitrogen (BUN)  and creatinine levels are elevated.
C)   The patient's central venous pressure (CVP)  is decreased.
D)   The patient has level 8 (on a 10-point scale)  incisional pain.

Question 10

After noting lengthening QRS intervals in a patient with acute kidney injury (AKI) , which action should the nurse take first?

Accepted Answer

A)   Document the QRS interval.
B)   Notify the patient's health care provider.
C)   Look at the patient's current blood urea nitrogen (BUN)  and creatinine levels.
D)   Check the chart for the most recent blood potassium level.

Question 11

When caring for a dehydrated patient with acute kidney injury who is oliguric, anemic, and hyperkalemic, which of the following prescribed actions should the nurse take first?

Accepted Answer

A)   Insert a urinary retention catheter.
B)   Place the patient on a cardiac monitor.
C)   Administer epoetin alfa (Epogen, Procrit) .
D)   Give sodium polystyrene sulfonate (Kayexalate) .

Question 12

A patient with stage 2 chronic kidney disease ( CKD )  is scheduled for an intravenous pyelogram ( IVP ) . Which of these orders for the patient will the nurse question?

Accepted Answer

A)   NPO for 6 hours before IVP procedure
B)   Normal saline 500 mL IV before procedure
C)   Ibuprofen ( Advil )  400 mg PO PRN for pain
D)   Dulcolax suppository 4 hours before IVP procedure

Question 13

Which nursing action for a patient who has arrived for a scheduled hemodialysis session is most appropriate for the RN to delegate to a dialysis technician?

Accepted Answer

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

Question 14

A patient with a history of benign prostatic hyperplasia (BPH)  is admitted with acute urinary retention and an elevated blood urea nitrogen (BUN)  and creatinine. Which of these prescribed therapies should the nurse implement first?

Accepted Answer

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

Question 15

In a patient with acute kidney injury (AKI)  who requires hemodialysis, a temporary vascular access is obtained by placing a catheter in the left femoral vein. Which intervention will be included in the plan of care?

Accepted Answer

A)   Place the patient on bed rest.
B)   Start continuous pulse oximetry.
C)   Discontinue the retention catheter.
D)   Restrict the patient's oral protein intake.

Question 16

Which information will be most useful to the nurse in evaluating improvement in kidney function for a patient who is hospitalized with acute kidney injury (AKI) ?

Accepted Answer

A)   Blood urea nitrogen (BUN)  level
B)   Urine output
C)   Creatinine level
D)   Calculated glomerular filtration rate (GFR)

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

Which nursing action for a patient who has arrived for a scheduled hemodialysis session is most appropriate for the RN to delegate to a dialysis technician?

Correct Answer
verified

After noting lengthening QRS intervals in a patient with acute kidney injury (AKI) , which action should the nurse take first?

Correct Answer
verified

During hemodialysis, a patient complains of nausea and dizziness. Which action should the nurse take first?

Correct Answer
verified

A patient with severe heart failure develops elevated blood urea nitrogen (BUN) and creatinine levels. The nurse will plan care to meet the goal of

Correct Answer
verified

In a patient with acute kidney injury (AKI) who requires hemodialysis, a temporary vascular access is obtained by placing a catheter in the left femoral vein. Which intervention will be included in the plan of care?

Correct Answer
verified

Before administering sodium polystyrene sulfonate ( Kayexalate ) to a patient with hyperkalemia, the nurse should assess the

Correct Answer
verified

A patient with stage 2 chronic kidney disease ( CKD ) is scheduled for an intravenous pyelogram ( IVP ) . Which of these orders for the patient will the nurse question?

Correct Answer
verified

When the nurse is caring for a patient who has been admitted with a severe crushing injury after an industrial accident, which laboratory result will be most important to report to the health care provider?

Correct Answer
verified

The nurse is caring for a patient who had kidney transplantation several years ago. Which assessment finding may indicate that the patient is experiencing adverse effects to the prescribed corticosteroid?

Correct Answer
verified

Two hours after a kidney transplant, the nurse obtains all of the following data when assessing the patient. Which information is most important to communicate to the health care provider?

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

Which parameter will be most important for the nurse to consider when titrating the IV fluid infusion rate immediately after a patient has had kidney transplantation?

Correct Answer
verified

A patient with a history of benign prostatic hyperplasia (BPH) is admitted with acute urinary retention and an elevated blood urea nitrogen (BUN) and creatinine. Which of these prescribed therapies should the nurse implement first?

Correct Answer
verified

When caring for a dehydrated patient with acute kidney injury who is oliguric, anemic, and hyperkalemic, which of the following prescribed actions should the nurse take first?

Correct Answer
verified

A patient who has acute glomerulonephritis is hospitalized with acute kidney injury (AKI) and hyperkalemia. Which information will the nurse obtain to evaluate the effectiveness of the prescribed calcium gluconate IV?

Correct Answer
verified

Which information will be most useful to the nurse in evaluating improvement in kidney function for a patient who is hospitalized with acute kidney injury (AKI) ?

Correct Answer
verified

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

Which nursing action for a patient who has arrived for a scheduled hemodialysis session is most appropriate for the RN to delegate to a dialysis technician?

Correct AnswerverifiedShow Answer

After noting lengthening QRS intervals in a patient with acute kidney injury (AKI) , which action should the nurse take first?

Correct AnswerverifiedShow Answer

During hemodialysis, a patient complains of nausea and dizziness. Which action should the nurse take first?

Correct AnswerverifiedShow Answer

A patient with severe heart failure develops elevated blood urea nitrogen (BUN) and creatinine levels. The nurse will plan care to meet the goal of

Correct AnswerverifiedShow Answer

In a patient with acute kidney injury (AKI) who requires hemodialysis, a temporary vascular access is obtained by placing a catheter in the left femoral vein. Which intervention will be included in the plan of care?

Correct AnswerverifiedShow Answer

Before administering sodium polystyrene sulfonate ( Kayexalate ) to a patient with hyperkalemia, the nurse should assess the

Correct AnswerverifiedShow Answer

A patient with stage 2 chronic kidney disease ( CKD ) is scheduled for an intravenous pyelogram ( IVP ) . Which of these orders for the patient will the nurse question?

Correct AnswerverifiedShow Answer

When the nurse is caring for a patient who has been admitted with a severe crushing injury after an industrial accident, which laboratory result will be most important to report to the health care provider?

Correct AnswerverifiedShow Answer

The nurse is caring for a patient who had kidney transplantation several years ago. Which assessment finding may indicate that the patient is experiencing adverse effects to the prescribed corticosteroid?

Correct AnswerverifiedShow Answer

Two hours after a kidney transplant, the nurse obtains all of the following data when assessing the patient. Which information is most important to communicate to the health care provider?

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

Which parameter will be most important for the nurse to consider when titrating the IV fluid infusion rate immediately after a patient has had kidney transplantation?

Correct AnswerverifiedShow Answer

A patient with a history of benign prostatic hyperplasia (BPH) is admitted with acute urinary retention and an elevated blood urea nitrogen (BUN) and creatinine. Which of these prescribed therapies should the nurse implement first?

Correct AnswerverifiedShow Answer

When caring for a dehydrated patient with acute kidney injury who is oliguric, anemic, and hyperkalemic, which of the following prescribed actions should the nurse take first?

Correct AnswerverifiedShow Answer

A patient who has acute glomerulonephritis is hospitalized with acute kidney injury (AKI) and hyperkalemia. Which information will the nurse obtain to evaluate the effectiveness of the prescribed calcium gluconate IV?

Correct AnswerverifiedShow Answer

Which information will be most useful to the nurse in evaluating improvement in kidney function for a patient who is hospitalized with acute kidney injury (AKI) ?

Correct AnswerverifiedShow Answer

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