NSG 223 (106)-compressed Exam Questions
and Answers with Verified Solutions | Latest
Updated 2026
A client has developed acute Answer: B. Hypertension Rationale: AKI
kidney caused by
injury (AKI) as a complication of glomerulonephritis is classified as intrinsic
glomerulonephritis. Which would or
the intrarenal failure. This form of AKI
nurse expect to observe in the commonly
client? manifests with hypertension, tachycardia,
A) Bradycardia oliguria,
B) Hypertension lethargy, edema, and other signs of fluid
C) Decreased cardiac output overload.
D) Decreased central venous
pressure
, The nurse is performing an Answer: D. Notify the PHCP Rationale:
assessment on a client who has Disequilibrium syndrome may be caused
returned from the dialysis unit by rapid
following hemodialysis. The client removal of solutes from the body during
is hemodialysis. These changes can cause
complaining of headache and cerebral
nausea and is twitching. Which is edema that leads to increased intracranial
the pressure.
priority nursing action? The client is exhibiting early signs and
A) Monitor the client. symptoms of
B) Elevate the head of the bed. disequilibrium syndrome, and appropriate
C) Assess the fistula site and treatments with anticonvulsant medications
dressing. and
D) Notify the primary health care barbiturates may be necessary to prevent
provider (PHCP). a life-
threatening situation. The PHCP must be
notified.
Monitoring the client, elevating the head of
the
bed, and assessing the fistula site are
correct
actions, but the priority action is to notify
the
PHCP.
and Answers with Verified Solutions | Latest
Updated 2026
A client has developed acute Answer: B. Hypertension Rationale: AKI
kidney caused by
injury (AKI) as a complication of glomerulonephritis is classified as intrinsic
glomerulonephritis. Which would or
the intrarenal failure. This form of AKI
nurse expect to observe in the commonly
client? manifests with hypertension, tachycardia,
A) Bradycardia oliguria,
B) Hypertension lethargy, edema, and other signs of fluid
C) Decreased cardiac output overload.
D) Decreased central venous
pressure
, The nurse is performing an Answer: D. Notify the PHCP Rationale:
assessment on a client who has Disequilibrium syndrome may be caused
returned from the dialysis unit by rapid
following hemodialysis. The client removal of solutes from the body during
is hemodialysis. These changes can cause
complaining of headache and cerebral
nausea and is twitching. Which is edema that leads to increased intracranial
the pressure.
priority nursing action? The client is exhibiting early signs and
A) Monitor the client. symptoms of
B) Elevate the head of the bed. disequilibrium syndrome, and appropriate
C) Assess the fistula site and treatments with anticonvulsant medications
dressing. and
D) Notify the primary health care barbiturates may be necessary to prevent
provider (PHCP). a life-
threatening situation. The PHCP must be
notified.
Monitoring the client, elevating the head of
the
bed, and assessing the fistula site are
correct
actions, but the priority action is to notify
the
PHCP.
