Question 1

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 2

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 3

A patient complains of leg cramps during hemodialysis.The nurse should first

Accepted Answer

A)   massage the patient's legs.
B)   reposition the patient supine.
C)   give acetaminophen (Tylenol) .
D)   infuse a bolus of normal saline.

Question 4

Which statement by a 62-year-old patient with stage 5 chronic kidney disease (CKD) indicates that the nurse's teaching about management of CKD has been effective?

Accepted Answer

A)   "I need to get most of my protein from low-fat dairy products."
B)   "I will increase my intake of fruits and vegetables to 5 per day."
C)   "I will measure my urinary output each day to help calculate the amount I can drink."
D)   "I need to take erythropoietin to boost my immune system and help prevent infection."

Question 5

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 6

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 7

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 8

Which assessment finding may indicate that a patient is experiencing adverse effects to a corticosteroid prescribed after kidney transplantation?

Accepted Answer

A)   Postural hypotension
B)   Recurrent tachycardia
C)   Knee and hip joint pain
D)   Increased serum creatinine

Question 9

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 10

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 11

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 12

A patient with acute kidney injury (AKI) has longer QRS intervals on the electrocardiogram (ECG) than were noted on the previous shift.Which action should the nurse take first?

Accepted Answer

A)   Notify the patient's health care provider.
B)   Document the QRS interval measurement.
C)   Check the medical record for most recent potassium level.
D)   Check the chart for the patient's current creatinine level.

Question 13

A licensed practical/vocational nurse (LPN/LVN)  is caring for a patient with stage 2 chronic kidney disease.Which observation by the RN requires an intervention?

Accepted Answer

A)   The LPN/LVN administers the erythropoietin subcutaneously.
B)   The LPN/LVN assists the patient to ambulate out in the hallway.
C)   The LPN/LVN administers the iron supplement and phosphate binder with lunch.
D)   The LPN/LVN carries a tray containing low-protein foods into the patient's room.

Question 14

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 15

When a patient with acute kidney injury (AKI) has an arterial blood pH of 7.30,the nurse will expect an assessment finding of

Accepted Answer

A)   persistent skin tenting
B)   rapid, deep respirations.
C)   bounding peripheral pulses.
D)   hot, flushed face and neck.

Question 16

Which intervention will be included in the plan of care for a male patient with acute kidney injury (AKI) who has a temporary vascular access catheter in the left femoral vein?

Accepted Answer

A)   Start continuous pulse oximetry.
B)   Restrict physical activity to bed rest.
C)   Restrict the patient's oral protein intake.
D)   Discontinue the urethral retention catheter.

Question 17

A 42-year-old patient admitted with acute kidney injury due to dehydration has oliguria,anemia,and hyperkalemia.Which 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 18

Before administration of captopril (Capoten) to a patient with stage 2 chronic kidney disease (CKD) ,the nurse will check the patient's

Accepted Answer

A)   glucose.
B)   potassium.
C)   creatinine.
D)   phosphate.

Question 19

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.

Exam 43: Nursing Management: Acute Kidney Injury and Chronic Kidney Disease

Before administration of captopril (Capoten) to a patient with stage 2 chronic kidney disease (CKD) ,the nurse will check the patient's

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

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 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

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 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

A patient complains of leg cramps during hemodialysis.The nurse should first

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

A licensed practical/vocational nurse (LPN/LVN) is caring for a patient with stage 2 chronic kidney disease.Which observation by the RN requires an intervention?

Correct Answer
verified

A patient with acute kidney injury (AKI) has longer QRS intervals on the electrocardiogram (ECG) than were noted on the previous shift.Which action should the nurse take first?

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

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

When a patient with acute kidney injury (AKI) has an arterial blood pH of 7.30,the nurse will expect an assessment finding of

Correct Answer
verified

Which assessment finding may indicate that a patient is experiencing adverse effects to a corticosteroid prescribed after kidney transplantation?

Correct Answer
verified

Which intervention will be included in the plan of care for a male patient with acute kidney injury (AKI) who has a temporary vascular access catheter in the left femoral vein?

Correct Answer
verified

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

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

Correct Answer
verified

A 42-year-old patient admitted with acute kidney injury due to dehydration has oliguria,anemia,and hyperkalemia.Which prescribed actions should the nurse take first?

Correct Answer
verified

Which statement by a 62-year-old patient with stage 5 chronic kidney disease (CKD) indicates that the nurse's teaching about management of CKD has been effective?

Correct Answer
verified

Exam 43: Nursing Management: Acute Kidney Injury and Chronic Kidney Disease

Before administration of captopril (Capoten) to a patient with stage 2 chronic kidney disease (CKD) ,the nurse will check the patient's

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

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 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

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 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

A patient complains of leg cramps during hemodialysis.The nurse should first

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

A licensed practical/vocational nurse (LPN/LVN) is caring for a patient with stage 2 chronic kidney disease.Which observation by the RN requires an intervention?

Correct AnswerverifiedShow Answer

A patient with acute kidney injury (AKI) has longer QRS intervals on the electrocardiogram (ECG) than were noted on the previous shift.Which action should the nurse take first?

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

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

When a patient with acute kidney injury (AKI) has an arterial blood pH of 7.30,the nurse will expect an assessment finding of

Correct AnswerverifiedShow Answer

Which assessment finding may indicate that a patient is experiencing adverse effects to a corticosteroid prescribed after kidney transplantation?

Correct AnswerverifiedShow Answer

Which intervention will be included in the plan of care for a male patient with acute kidney injury (AKI) who has a temporary vascular access catheter in the left femoral vein?

Correct AnswerverifiedShow Answer

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

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

Correct AnswerverifiedShow Answer

A 42-year-old patient admitted with acute kidney injury due to dehydration has oliguria,anemia,and hyperkalemia.Which prescribed actions should the nurse take first?

Correct AnswerverifiedShow Answer

Which statement by a 62-year-old patient with stage 5 chronic kidney disease (CKD) indicates that the nurse's teaching about management of CKD has been effective?

Correct AnswerverifiedShow Answer

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Correct Answer
verified

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verified

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verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

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

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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