The nurse has provided discharge instructions to a client who is newly diagnosed with
nephrotic syndrome which of the following client statement indicates a correct
understanding of the teaching
A. I should take all prescribed antibiotics until they're gone
B. I should avoid using any type of salt substitute on my food
C. I must decrease my intake of foods high in potassium
D. I must protect myself from developing an infection
The nurse is reviewing the laboratory results of assigned client it is a priority for the nurse to
follow up with Primary Health care provider if a client who
A. Is receiving prescribed digoxin and has a blood urea nitrogen level that has increased from 15 to
19 mg/dl over the past three days
B. had a mitral mechanical valve replacement an taking prescribed warfarin has an INR that is 3.2
(NORMAL)
C. Is receiving prescribed enoxaparin operatively from cardiac surgery and has a platelet count that
has decreased from 200,000 to 175,000 Over the past two days
D. had an abdominal aortic aneurysm AAA repair 2 days ago has a creatinine level that has
increased from 0.9 to 2.5 mg/dl
The nurse is caring for a client who has been hospitalized for eight days with acute kidney
injury caused by dehydration which of the following should the nurse report immediately to
the Primary Health care provider
A. A blood urea nitrogen BUN level of 67 mg/dl
B. a rhythm strip reading that has tall peaked T waves THIS WANST OPTION ALL CHOICE WERE
THERE
C. a decrease glomerular filtration rate
D. a creatinine level of 3 mg/dl
The nurse is caring for a client who is receiving gentamicin intravenously for an infection and
has developed oliguria and an increased blood pressure which of the following actions should
the nurse take first
A. collect a urine sample to check the specific gravity
B. obtain a prescription for gentamicin peak and trough levels (pg 1393)
C. insert described urethral urinary catheter
D. raise the head of bed to a 45-degree angle
The nurse is caring for a client who has chronic kidney disease the client is reporting muscle
weakness diarrhea and tingling in the hands which action should the nurse take first
A. notify the Primary Health care provider
B. check the client's most recent serum electrolyte levels
C. evaluate the client's urine output for the past four hours
D. determine if the client is scheduled to receive hemodialysis
, The nurse is talking with a client who has chronic kidney disease and is receiving hemodialysis
three times per week which of the following client statements is a priority for follow up by
the nurse
A. I try and limit my intake of dietary sodium to 5 grams per day
B. I have noticed that my skin looks like it has a layer of Frost on it
C. I have notice in my breath has developed a very unpleasant order
D. I will make sure that I consume at least 50 grams of protein every day
The nurse is teaching a client who is in the late stage of chronic kidney disease which of the
following client statements indicates a correct understanding of the teaching
A. I should obtain much of my protein from dairy products and eggs
B. I can expect to have an increase in my energy level after dialysis treatment
C. hemodialysis will be performed two times per week in an outpatient center
D. if I develop any fatigue or weakness I should report to my doctor
The nurse is caring for a client who has returned from receiving a hemodialysis treatment it
requires immediate follow up by the nurse if the client has
A. developed a blood pressure of mm hg (pg.1416)
B. develop a temperature of 99.4 Fahrenheit
C. potassium level that decreases from 6.1 to 5.1
D. reports of feeling tired and no desire to eat
The nurses came for assigned client which of the following action should the nurse take
A. place mask on the client when changing the client peritoneal dialysis catheter dressing
(pg.1420)
B. walk a client to the bathroom during the peritoneal dialysis infusion cycle
C. apply a pressure dressing on a client arterial venous fistula between hemodialysis treatments
D. obtain a blood specimen from a client's arteriovenous fistula
The nurse preceptor is observing a newly hired nurse care for a client who is receiving
peritoneal dialysis it indicates correct technique if the newly hired nurse is observed
A. obtaining a prescription to give the client an enema prior to beginning dialysis (pg.1420)
B. placing the PD dialysate bag in the microwave to warm the solution
C. Starting dialysis feel prior to cleaning the catheter site
D. repositioning the client to high fowlers during dialysis to improve dialysate drainage
The nurse is assessing a newly admitted client who has acute pancreatitis which of the
following should the nurse expect to assess
A. spider angiomas
B. left shoulder pain (pg.1199). left flank area pain
C. Hypertension
D. Bradycardia
nephrotic syndrome which of the following client statement indicates a correct
understanding of the teaching
A. I should take all prescribed antibiotics until they're gone
B. I should avoid using any type of salt substitute on my food
C. I must decrease my intake of foods high in potassium
D. I must protect myself from developing an infection
The nurse is reviewing the laboratory results of assigned client it is a priority for the nurse to
follow up with Primary Health care provider if a client who
A. Is receiving prescribed digoxin and has a blood urea nitrogen level that has increased from 15 to
19 mg/dl over the past three days
B. had a mitral mechanical valve replacement an taking prescribed warfarin has an INR that is 3.2
(NORMAL)
C. Is receiving prescribed enoxaparin operatively from cardiac surgery and has a platelet count that
has decreased from 200,000 to 175,000 Over the past two days
D. had an abdominal aortic aneurysm AAA repair 2 days ago has a creatinine level that has
increased from 0.9 to 2.5 mg/dl
The nurse is caring for a client who has been hospitalized for eight days with acute kidney
injury caused by dehydration which of the following should the nurse report immediately to
the Primary Health care provider
A. A blood urea nitrogen BUN level of 67 mg/dl
B. a rhythm strip reading that has tall peaked T waves THIS WANST OPTION ALL CHOICE WERE
THERE
C. a decrease glomerular filtration rate
D. a creatinine level of 3 mg/dl
The nurse is caring for a client who is receiving gentamicin intravenously for an infection and
has developed oliguria and an increased blood pressure which of the following actions should
the nurse take first
A. collect a urine sample to check the specific gravity
B. obtain a prescription for gentamicin peak and trough levels (pg 1393)
C. insert described urethral urinary catheter
D. raise the head of bed to a 45-degree angle
The nurse is caring for a client who has chronic kidney disease the client is reporting muscle
weakness diarrhea and tingling in the hands which action should the nurse take first
A. notify the Primary Health care provider
B. check the client's most recent serum electrolyte levels
C. evaluate the client's urine output for the past four hours
D. determine if the client is scheduled to receive hemodialysis
, The nurse is talking with a client who has chronic kidney disease and is receiving hemodialysis
three times per week which of the following client statements is a priority for follow up by
the nurse
A. I try and limit my intake of dietary sodium to 5 grams per day
B. I have noticed that my skin looks like it has a layer of Frost on it
C. I have notice in my breath has developed a very unpleasant order
D. I will make sure that I consume at least 50 grams of protein every day
The nurse is teaching a client who is in the late stage of chronic kidney disease which of the
following client statements indicates a correct understanding of the teaching
A. I should obtain much of my protein from dairy products and eggs
B. I can expect to have an increase in my energy level after dialysis treatment
C. hemodialysis will be performed two times per week in an outpatient center
D. if I develop any fatigue or weakness I should report to my doctor
The nurse is caring for a client who has returned from receiving a hemodialysis treatment it
requires immediate follow up by the nurse if the client has
A. developed a blood pressure of mm hg (pg.1416)
B. develop a temperature of 99.4 Fahrenheit
C. potassium level that decreases from 6.1 to 5.1
D. reports of feeling tired and no desire to eat
The nurses came for assigned client which of the following action should the nurse take
A. place mask on the client when changing the client peritoneal dialysis catheter dressing
(pg.1420)
B. walk a client to the bathroom during the peritoneal dialysis infusion cycle
C. apply a pressure dressing on a client arterial venous fistula between hemodialysis treatments
D. obtain a blood specimen from a client's arteriovenous fistula
The nurse preceptor is observing a newly hired nurse care for a client who is receiving
peritoneal dialysis it indicates correct technique if the newly hired nurse is observed
A. obtaining a prescription to give the client an enema prior to beginning dialysis (pg.1420)
B. placing the PD dialysate bag in the microwave to warm the solution
C. Starting dialysis feel prior to cleaning the catheter site
D. repositioning the client to high fowlers during dialysis to improve dialysate drainage
The nurse is assessing a newly admitted client who has acute pancreatitis which of the
following should the nurse expect to assess
A. spider angiomas
B. left shoulder pain (pg.1199). left flank area pain
C. Hypertension
D. Bradycardia
