RENAL CRITICAL CARE EXAM WITH ALL CORRECT &
VERIFIED ANSWERS/ALREADY GRADED A+/JUST
RELEASED
1. A client with AKI has a serum 1,
2, 4
potassium level of 7.0 mEq/L.
The nurse should plan The potassium level is elevarted. The client is at risk for
which develop-
actions as a priority. Select all ing cardiac dysrhythmias and cardiac arrest.
Because of this the
that apply. nurse is to: (Select all that
apply.)
1. Place the client on a
car- diac monitor 1. Administer oxygen to the
2. Notify the HCP client.
3. Put the client on NPO 2. Continue dialysis at a slow-
sta- tus except for ice
chips
4. Review the client's
medica- tions to
determine if any con- tain
or retain potassium
5. Allow an extra 500 mL
of intravenous fluid intake
to di- lute the electrolyte
concen- tration
2. The client being hemodi-
alyzed suddenly
becomes short of breath
and com- plains of chest
pain. The client is
tachycardic, pale, and
anxious. The nurse sus-
pects air embolism. The
pri- ority action for the
,RENAL CRITICAL CARE EXAM WITH ALL CORRECT &
VERIFIED ANSWERS/ALREADY GRADED A+/JUST
RELEASED
client should be placed on a cardiac
monitor. The nurse should notify the HCP
and also review medications to determine if
any contain potassium or are potassium
retaining. The client does not need to be
put on NPO status. Fluid intake is not
increased because it contributes to fluid
overload and would not attect the serum
potassium level significantly.
1, 3, 4
If the client experiences air embolus
during hemodialysis, the nurse should
terminate dialysis immediately, position the
client so the air embolus is in the right side of
the heart, notify the HCP and Rapid
Response Team, and administer oxygen as
needed. Slowing the dialysis treatment or
giving an IV bolus will not correct the air
embolus or prevent complications.
,RENAL CRITICAL CARE EXAM WITH ALL CORRECT &
VERIFIED ANSWERS/ALREADY GRADED A+/JUST
RELEASED
er rate after checking the
lines for air.
3. Notify the HCP and
Rapid Response team.
4. Stop dialysis and turn
the client on the left
side with head lower
than feet.
5. Bolus the client with
500 mL of normal saline
to break up the air
embolus.
3. The client arrives at the ED
3
with complaints of low ab-
dominal pain and hematuria. Bladder trauma or injury should be considered or
suspected in
The client is afebrile. with a client with symptomatic
The nurse next assess polycystic kid- ney disease.
the client to determine Which treat- ment should be
a history of which included in
condition?
1. Pyelonephritis
2. Glomerulonephritis
3. Trauma to the
bladder or abdomen
4. Renal cancer in the
clients family
4. The nurse discusses
plans for future
treatment op- tions
, RENAL CRITICAL CARE EXAM WITH ALL CORRECT &
VERIFIED ANSWERS/ALREADY GRADED A+/JUST
RELEASED
the client with low abdominal pain and
hematuria. Glomeru- lonephritis and
pyelonephritis would be accompanied by
fever and are thus not applicable to the client
described in the ques- tion. Renal cancer
would not cause pain that is felt in the low
abdomen; rather, the pain would be in the
flank area.
1, 3, 4
Polycystic kidney disease is a genetic
familial disease in which the kidneys
enlarge with cysts that rupture and scar the
kidney, eventually resulting in end-stage
renal disease. Treatment op- tions include
hemodialysis or kidney trasnplant. Clients
usually
VERIFIED ANSWERS/ALREADY GRADED A+/JUST
RELEASED
1. A client with AKI has a serum 1,
2, 4
potassium level of 7.0 mEq/L.
The nurse should plan The potassium level is elevarted. The client is at risk for
which develop-
actions as a priority. Select all ing cardiac dysrhythmias and cardiac arrest.
Because of this the
that apply. nurse is to: (Select all that
apply.)
1. Place the client on a
car- diac monitor 1. Administer oxygen to the
2. Notify the HCP client.
3. Put the client on NPO 2. Continue dialysis at a slow-
sta- tus except for ice
chips
4. Review the client's
medica- tions to
determine if any con- tain
or retain potassium
5. Allow an extra 500 mL
of intravenous fluid intake
to di- lute the electrolyte
concen- tration
2. The client being hemodi-
alyzed suddenly
becomes short of breath
and com- plains of chest
pain. The client is
tachycardic, pale, and
anxious. The nurse sus-
pects air embolism. The
pri- ority action for the
,RENAL CRITICAL CARE EXAM WITH ALL CORRECT &
VERIFIED ANSWERS/ALREADY GRADED A+/JUST
RELEASED
client should be placed on a cardiac
monitor. The nurse should notify the HCP
and also review medications to determine if
any contain potassium or are potassium
retaining. The client does not need to be
put on NPO status. Fluid intake is not
increased because it contributes to fluid
overload and would not attect the serum
potassium level significantly.
1, 3, 4
If the client experiences air embolus
during hemodialysis, the nurse should
terminate dialysis immediately, position the
client so the air embolus is in the right side of
the heart, notify the HCP and Rapid
Response Team, and administer oxygen as
needed. Slowing the dialysis treatment or
giving an IV bolus will not correct the air
embolus or prevent complications.
,RENAL CRITICAL CARE EXAM WITH ALL CORRECT &
VERIFIED ANSWERS/ALREADY GRADED A+/JUST
RELEASED
er rate after checking the
lines for air.
3. Notify the HCP and
Rapid Response team.
4. Stop dialysis and turn
the client on the left
side with head lower
than feet.
5. Bolus the client with
500 mL of normal saline
to break up the air
embolus.
3. The client arrives at the ED
3
with complaints of low ab-
dominal pain and hematuria. Bladder trauma or injury should be considered or
suspected in
The client is afebrile. with a client with symptomatic
The nurse next assess polycystic kid- ney disease.
the client to determine Which treat- ment should be
a history of which included in
condition?
1. Pyelonephritis
2. Glomerulonephritis
3. Trauma to the
bladder or abdomen
4. Renal cancer in the
clients family
4. The nurse discusses
plans for future
treatment op- tions
, RENAL CRITICAL CARE EXAM WITH ALL CORRECT &
VERIFIED ANSWERS/ALREADY GRADED A+/JUST
RELEASED
the client with low abdominal pain and
hematuria. Glomeru- lonephritis and
pyelonephritis would be accompanied by
fever and are thus not applicable to the client
described in the ques- tion. Renal cancer
would not cause pain that is felt in the low
abdomen; rather, the pain would be in the
flank area.
1, 3, 4
Polycystic kidney disease is a genetic
familial disease in which the kidneys
enlarge with cysts that rupture and scar the
kidney, eventually resulting in end-stage
renal disease. Treatment op- tions include
hemodialysis or kidney trasnplant. Clients
usually
