Advanced Med Surg Exam 2 Questions And Answers
After the insertion of an ateriovenous graft in the right FA, a patient complains of pain and coldness of the right fingers. Which action should the nurse take? - ans --Report the
patient's symptoms to the provider
When a patient with acute kidney injury has an arterial blood pH of 7.30, the nurse will expect an assessment finding of? - ans --Rapid, deep respirations
The nurse is planning care for a patient with severe heart failure who has developed elavated BUN and creatinine levels. The primary treatment goal in the plan will be - ans --maintaining cardiac output
A patient who has acute glomerulonephritis is hospitalized with hyperkalemia. Which information will the nurse monitor to evaluate the effectiveness of the prescribed calcium gluconate? - ans --Cardiac rhythm
Which statement by a patient with stage 5 chronic kidney disease indicates that the nurse's teaching about management of CKD has been effective? - ans --"I will measure my urinary output each day to help calculate the amount I can drink"
Which information will the nurse monitor in order to determine the effectiveness of prescribed calcium carbonate for a patient with CKD? - ans --Phosphate levels
sodium polystyrene sulfonate (Kayexalate) is ordered for a patient with hyperkalemia. Before administering the medication, the nurse should assess the - ans --bowel sounds
Which menu choice by the patient who is receiving hemodialysis indicates that the nurse's teaching has been successfull? - ans --Poached eggs, whole wheat toast and apple juice
Before administration of calcium carbonate to a patient with chronic kidney disease the nurse should check lab results for - ans --serum phosphate
A 37 year old female patient is hospitalized with acute kidney injury. Which information will be MOST useful to the nurse in evaluating improvement in kidney function? - ans --
GFR A patient will need vascular access for hemodialysis. Which statement by the nurse accuratley describes an advantage of a fistula over a graft? - ans --A fistula is much less
likely to clot
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? - ans --Ascultate for bruit at the fistula site
A patient who has had progressive chronic kidney disease for several years has just begun regular hemodialysis. Which information about diet will the nurse include in patient teaching? - ans --More protein is allowed because urea and creatinine are removed during dialysis
Which action by patient who is using peritoneal dialysis indicates that hte nurse should provide more teaching about PD? - ans --The patient cleans the catheter while taking a bath each day
which information in a patient's history indicates to the nurse that the patient is not an appropriate candidate for kidney transplantation? - ans --The patient has metastatic lung cancer
which assessment finding May indicate that a patient is experiencing adverse effects to a corticosteroid prescribed after kidney transplantation? - ans --Knee and hip joint pain
a 38 year old patient who had a kidney transplant 8 years ago is receiving the immunosuppressant tacrolimus (prograf), cyclosporine (sandimmune) and prednisone. Which assessment date will be of MOST concern to the nurse? - ans --a nontender axillary lump
the nurse in the dialysis clinic is reviewing the home medications of a patient with chronic kidney disease. Which medication reported by the patient indicates that patient teaching is required? - ans --Magnesium hydroxide
before administration of caterpillar to a patient with Stage 2 chronic kidney disease, the nurse will check the patient's? - ans --potassium
a patient with diabetes who has bacterial pneumonia is being treated with IV Gentamicin
60 mg IV bid. The nurse will monitor for adverse effects of the medication by evaluating the patients? - ans --serum creatinine
A 55 year old patient with end stage kidney disease is scheduled to recieve a prescribed dose of epoetin alfa (procrit). Which information should the nurse report to the health care provider before giving medicaiton? - ans --Hemoglobin level 13 g/dL
After the insertion of an ateriovenous graft in the right FA, a patient complains of pain and coldness of the right fingers. Which action should the nurse take? - ans --Report the
patient's symptoms to the provider
When a patient with acute kidney injury has an arterial blood pH of 7.30, the nurse will expect an assessment finding of? - ans --Rapid, deep respirations
The nurse is planning care for a patient with severe heart failure who has developed elavated BUN and creatinine levels. The primary treatment goal in the plan will be - ans --maintaining cardiac output
A patient who has acute glomerulonephritis is hospitalized with hyperkalemia. Which information will the nurse monitor to evaluate the effectiveness of the prescribed calcium gluconate? - ans --Cardiac rhythm
Which statement by a patient with stage 5 chronic kidney disease indicates that the nurse's teaching about management of CKD has been effective? - ans --"I will measure my urinary output each day to help calculate the amount I can drink"
Which information will the nurse monitor in order to determine the effectiveness of prescribed calcium carbonate for a patient with CKD? - ans --Phosphate levels
sodium polystyrene sulfonate (Kayexalate) is ordered for a patient with hyperkalemia. Before administering the medication, the nurse should assess the - ans --bowel sounds
Which menu choice by the patient who is receiving hemodialysis indicates that the nurse's teaching has been successfull? - ans --Poached eggs, whole wheat toast and apple juice
Before administration of calcium carbonate to a patient with chronic kidney disease the nurse should check lab results for - ans --serum phosphate
A 37 year old female patient is hospitalized with acute kidney injury. Which information will be MOST useful to the nurse in evaluating improvement in kidney function? - ans --
GFR A patient will need vascular access for hemodialysis. Which statement by the nurse accuratley describes an advantage of a fistula over a graft? - ans --A fistula is much less
likely to clot
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? - ans --Ascultate for bruit at the fistula site
A patient who has had progressive chronic kidney disease for several years has just begun regular hemodialysis. Which information about diet will the nurse include in patient teaching? - ans --More protein is allowed because urea and creatinine are removed during dialysis
Which action by patient who is using peritoneal dialysis indicates that hte nurse should provide more teaching about PD? - ans --The patient cleans the catheter while taking a bath each day
which information in a patient's history indicates to the nurse that the patient is not an appropriate candidate for kidney transplantation? - ans --The patient has metastatic lung cancer
which assessment finding May indicate that a patient is experiencing adverse effects to a corticosteroid prescribed after kidney transplantation? - ans --Knee and hip joint pain
a 38 year old patient who had a kidney transplant 8 years ago is receiving the immunosuppressant tacrolimus (prograf), cyclosporine (sandimmune) and prednisone. Which assessment date will be of MOST concern to the nurse? - ans --a nontender axillary lump
the nurse in the dialysis clinic is reviewing the home medications of a patient with chronic kidney disease. Which medication reported by the patient indicates that patient teaching is required? - ans --Magnesium hydroxide
before administration of caterpillar to a patient with Stage 2 chronic kidney disease, the nurse will check the patient's? - ans --potassium
a patient with diabetes who has bacterial pneumonia is being treated with IV Gentamicin
60 mg IV bid. The nurse will monitor for adverse effects of the medication by evaluating the patients? - ans --serum creatinine
A 55 year old patient with end stage kidney disease is scheduled to recieve a prescribed dose of epoetin alfa (procrit). Which information should the nurse report to the health care provider before giving medicaiton? - ans --Hemoglobin level 13 g/dL
