NUR 514 EXAM 5 Renal Disorders, Hemodialysis,
Kidney Function, UTI, AKI CKD ALL 300 QUESTIONS
AND CORRECT ANSWERS LATEST UPDATE THIS
YEAR
QUESTION: A nurse is reviewing the results of a client's urinalysis. The findings indicate that the
urine is positive for leukocyte esterase and nitrates. Which of the following actions should the
nurse take?
Repeat the test early the next morning
Obtain a clean-catch urine sample for culture and sensitivity
Start a 24 hour urine collection for creatinine clearance - ANSWER-Obtain a clean-catch urine
sample for culture and sensitivity
QUESTION: A nurse is teaching a client who has chronic kidney disease and is to begin
hemodialysis. Which of the following should the nurse include in the teaching?
Hemodialysis restores kidney function
Hemodialysis replaces hormonal function of the renal system
Hemodialysis allows an unrestricted diet
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Hemodialysis returns a balance to blood electrolytes - ANSWER-Hemodialysis returns a balance
to blood electrolytes
QUESTION: A nurse is preparing to initiate hemodialysis for a patient with acute kidney injury.
Which of the following actions should the nurse take (select all that apply)
Review the medications that the client currently takes
Assess the AV fistula for a bruit
Calculate the client's hourly urine output
Measure the client's weight
Check blood electrolytes
Assess site area for venipuncture - ANSWER-Review the medications that the client currently
takes
Assess the AV fistula for a bruit
Measure the client's weight
Check blood electrolytes
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QUESTION: A nurse is planning post-procedure care for a client who received hemodialysis.
Which of the following interventions should the nurse include in the plan of care? (select all
that apply)
Check BUN and blood creatinine
Administer the medications the nurse witheld prior to dialysis
Observe for findings of hypovolemia
Assess the access site for bleeding
Evaluate blood pressure on the arm with AV access - ANSWER-Check BUN and blood creatinine
Administer the medications the nurse witheld prior to dialysis
Observe for findings of hypovolemia
Assess the access site for bleeding
QUESTION: A nurse is caring for a client who develops disequilibrium syndrome after receiving
hemodialysis. Which of the following actions should the nurse take
Administer an opioid medication
Monitor for hypertension
Assess level of consciousness
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Increase the dialysis exchange rate - ANSWER-Assess level of consciousness
QUESTION: A nurse is planning care for a client who will undergo peritoneal dialysis. Which of
the following actions should the nurse take? (select all that apply)
Monitor blood glucose levels
Report cloudy dialysate return
Warm the dialysate in a microwave oven
Assess for shortness of breath
Check the access site dressing for wetness
Maintain medical asepsis when accessing the catheter insertion site - ANSWER-Monitor blood
glucose levels
Report cloudy dialysate return
Assess for shortness of breath
Check the access site dressing for wetness
QUESTION: A nurse is assessing a client with end- stage kidney disease. Which of the following
should the nurse expect? (select all that apply)
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