Test 1
1. The nurse has provided discharge instructions to a client
who is newly diagnosed with nephrotic syndrome. Which
of the following client statements indicates a correct
understanding of the teaching?
a. I must decrease my intake of foods high in potassium.
b. I should take all prescribed antibiotics until they are gone
c. I must protect myself from developing an infection.
d. I should avoid using any type of salt substitute on my
food.
2. The nurse is reviewing the lab results of an assigned
clients. It is priority for the nurse to follow up with primary
health care provider if a client who.
a. Had a mitral (mechanical) valve replacement and taking
prescribed warfarin has an international normalized ratio
(INR) that is 3.2.
b. Is receiving prescribed enoxaparin postoperatively from
cardiac surgery and has a platelet count that is decreased
from 200,000 to 175,000 over the past 2 days.
c. Had an abdominal aortic aneurysm (AAA) repair 2 days
ago has a creatinine level that has increased from 0.9 to
2.5.
d. Is receiving prescribed digoxin and has a blood urea
nitrogen level that has increased from 15 to 19 over the
past 3 days.
3. The nurse is caring for a client who has been hospitalized
for 8 days with acute kidney injury caused by dehydration.
, Which of the following should the nurse report
immediately to the primary health care provider (PCHP)?
a. A rhythm strip reading that has tall, peaked T waves.
b. A creatinine level of 3 mg/dl
c. A blood urea nitrogen (BUN) level of 67 mg/dl
d. A decreased glomerular filtration rate
4. The nurse is caring for a client who is receiving gentamicin
intravenously for an infection and has development oliguria
and an increased blood pressure. Which of the following
actions should the nurse take first.
a. Insert a prescribed urethral urinary catheter.
b. Raise the head of the bed (HOB) to a 45 degree angle.
c. Collect a urine sample to check the specific gravity.
d. Obtain a prescription for gentamicin peak and trough
levels.
5. The nurse is caring for a client who has chronic kidney
disease (CKD). The client is reporting muscle weakness,
diarrhea, and tingling in the hands. Which action should the
nurse take first?
a. Notify the primary health care provider (PCP)
b. Determine if the client is scheduled to receive
hemodialysis
c. Check the clients most recent serum electrolyte levels.
d. Evaluate the clients urine output for the past 4 hours.
6. The nurse is talking with a client who has chronic kidney
disease (CKD) and is receiving hemodialysis 3 times per
week. Which of the following client statements is priority
for follow up by the nurse?
a. I have noticed that my breath has developed a very
1. The nurse has provided discharge instructions to a client
who is newly diagnosed with nephrotic syndrome. Which
of the following client statements indicates a correct
understanding of the teaching?
a. I must decrease my intake of foods high in potassium.
b. I should take all prescribed antibiotics until they are gone
c. I must protect myself from developing an infection.
d. I should avoid using any type of salt substitute on my
food.
2. The nurse is reviewing the lab results of an assigned
clients. It is priority for the nurse to follow up with primary
health care provider if a client who.
a. Had a mitral (mechanical) valve replacement and taking
prescribed warfarin has an international normalized ratio
(INR) that is 3.2.
b. Is receiving prescribed enoxaparin postoperatively from
cardiac surgery and has a platelet count that is decreased
from 200,000 to 175,000 over the past 2 days.
c. Had an abdominal aortic aneurysm (AAA) repair 2 days
ago has a creatinine level that has increased from 0.9 to
2.5.
d. Is receiving prescribed digoxin and has a blood urea
nitrogen level that has increased from 15 to 19 over the
past 3 days.
3. The nurse is caring for a client who has been hospitalized
for 8 days with acute kidney injury caused by dehydration.
, Which of the following should the nurse report
immediately to the primary health care provider (PCHP)?
a. A rhythm strip reading that has tall, peaked T waves.
b. A creatinine level of 3 mg/dl
c. A blood urea nitrogen (BUN) level of 67 mg/dl
d. A decreased glomerular filtration rate
4. The nurse is caring for a client who is receiving gentamicin
intravenously for an infection and has development oliguria
and an increased blood pressure. Which of the following
actions should the nurse take first.
a. Insert a prescribed urethral urinary catheter.
b. Raise the head of the bed (HOB) to a 45 degree angle.
c. Collect a urine sample to check the specific gravity.
d. Obtain a prescription for gentamicin peak and trough
levels.
5. The nurse is caring for a client who has chronic kidney
disease (CKD). The client is reporting muscle weakness,
diarrhea, and tingling in the hands. Which action should the
nurse take first?
a. Notify the primary health care provider (PCP)
b. Determine if the client is scheduled to receive
hemodialysis
c. Check the clients most recent serum electrolyte levels.
d. Evaluate the clients urine output for the past 4 hours.
6. The nurse is talking with a client who has chronic kidney
disease (CKD) and is receiving hemodialysis 3 times per
week. Which of the following client statements is priority
for follow up by the nurse?
a. I have noticed that my breath has developed a very
