A nurse is caring for a client who has chronic kidney disease (CKD) and states she has
heartburn. The provider prescribes aluminum hydroxide. The client asks, "Why can't I
just take the antacid magaldrate my husband has at home?" The nurse explains to the
client that aluminum hydroxide is the preferred antacid because it lowers which of the
following?
1. Serum phosphorus levels
2. Serum potassium levels
3. Serum magnesium levels
4. Serum calcium levels - 1. Serum phosphorus levels
A nurse is reviewing the arterial blood gas values of a client who has chronic kidney
disease. Which of the following sets of values should nurse expect?
1. pH 7.25, HCO3-19 mEq/L, PaCO2 30 mm Hg
2. pH 7.30, HCO3-26 mEq/L, PaCO2 50 mm Hg
3. pH 7.50, HCO3-20 mEq/L, PaCO2 32 mm Hg
4. pH 7.55, HCO3- 30 mEq/L, PaCO2 31 mm HG - 1. pH 7.25, HCO3-19 mEq/L,
PaCO2 30 mm Hg
A nurse is reviewing the medical record of a client who has a urinary tract infection
(UTI). Which of the following findings should the nurse recognize as a risk factor?
1. COPD
2. Diabetes mellitus
3. Anemia
4. Osteoporosis - 2. Diabetes mellitus
A nurse is providing dietary teaching to a client who has frequent kidney stones. Which
of the following instructions should the nurse include in the teaching?
1. "Limit your intake of dairy products."
2. "Increase the amount of protein in your diet."
3. "Avoid eating tree nuts, such as almonds."
4. "Take a vitamin C supplement twice daily." - 3. "Avoid eating tree nuts, such as
almonds."
A nurse is caring for a client who is receiving peritoneal dialysis. The nurse should
monitor the client for which of the following manifestations of peritonitis?
1. Hyperactive bowel sounds
2. Nausea and vomiting
3. Bradycardia
4. Increased urinary output - 2. Nausea and vomiting
A nurse in a dialysis center is caring for a client who has a new diagnosis of end-stage
kidney disease. When he arrives for his first dialysis treatment, he tells the nurse, "I
decided to come today, but I am not sure if I will need to come back again this week. I