TEST BANK
Chapters 51–60
Complete Test Banks covering all chapters (1 to 69)
are available in the bundled package
,Table of Contents are given below
51. Acute Kidney Injury and Chronic Kidney Disease
52. Assessment: Endocrine System
53. Diabetes
54. Endocrine Problems
55. Assessment: Reproductive System
56. Breast Problems
57. Sexually Transmitted Infections
58. Female Reproductive Problems
59. Male Reproductive Problems
60. Assessment: Nervous System
,
, VVIIILII d::,::,e::,::,111t:lll llllUlllb VVUUIU LIit: 11u1::,e t:Jl..1-'t:Ll VVllt:11 d 1-'dllt:lll VVILII dLUlt:
kidney injury (AKI) has an arterial blood pH of 7.30?
Persistent skin tenting
➔ Rapid, deep respirations
Hot, flushed face and neck
Bounding peripheral pulses
Patients with metabolic acidosis caused by AKI may have compensatory
Kussmaul respirations to eliminate carbon dioxide. Bounding pulses and
vasodilation are not associated with metabolic acidosis. Because the
patient is likely to have fluid retention, poor skin turgor would not be an
expected finding in AKI.
Question 3 pts
The nurse is planning care for a patient with severe heart failure who has
developed increased blood urea nitrogen (BUN) and creatinine levels. Which
aim will be the primary treatment goal?
➔ Improving cardiac output
Augmenting fluid volume
Diluting nephrotoxic substances
Preventing systemic hypertension
The primary goal of treatment for acute kidney injury (AKI) is to
eliminate the cause and provide supportive care while the kidneys
recover. Because this patient's heart failure is causing AKI, the care will
be directed toward treatment of the heart failure. Renal failure caused
by hypertension, hypovolemia, or nephrotoxins would be managed by
interventions specific to those problems.
Question 4 pts
Which information will the nurse monitor to evaluate the effectiveness of
prescribed calcium gluconate IV to treat a patient's hyperkalemia?
Urine volume
Calcium level
➔ Cardiac rhythm
Neurologic status
Calcium gluconate raises the threshold at which dysrhythmias occur,
temporarily stabilizing the myocardium. The nurse will monitor the other
data as well, but these will not be helpful in determining the
effectiveness of the calcium gluconate.
Question 5 pts
Which statement by a patient with stage 5 chronic kidney disease (CKD)
Chapters 51–60
Complete Test Banks covering all chapters (1 to 69)
are available in the bundled package
,Table of Contents are given below
51. Acute Kidney Injury and Chronic Kidney Disease
52. Assessment: Endocrine System
53. Diabetes
54. Endocrine Problems
55. Assessment: Reproductive System
56. Breast Problems
57. Sexually Transmitted Infections
58. Female Reproductive Problems
59. Male Reproductive Problems
60. Assessment: Nervous System
,
, VVIIILII d::,::,e::,::,111t:lll llllUlllb VVUUIU LIit: 11u1::,e t:Jl..1-'t:Ll VVllt:11 d 1-'dllt:lll VVILII dLUlt:
kidney injury (AKI) has an arterial blood pH of 7.30?
Persistent skin tenting
➔ Rapid, deep respirations
Hot, flushed face and neck
Bounding peripheral pulses
Patients with metabolic acidosis caused by AKI may have compensatory
Kussmaul respirations to eliminate carbon dioxide. Bounding pulses and
vasodilation are not associated with metabolic acidosis. Because the
patient is likely to have fluid retention, poor skin turgor would not be an
expected finding in AKI.
Question 3 pts
The nurse is planning care for a patient with severe heart failure who has
developed increased blood urea nitrogen (BUN) and creatinine levels. Which
aim will be the primary treatment goal?
➔ Improving cardiac output
Augmenting fluid volume
Diluting nephrotoxic substances
Preventing systemic hypertension
The primary goal of treatment for acute kidney injury (AKI) is to
eliminate the cause and provide supportive care while the kidneys
recover. Because this patient's heart failure is causing AKI, the care will
be directed toward treatment of the heart failure. Renal failure caused
by hypertension, hypovolemia, or nephrotoxins would be managed by
interventions specific to those problems.
Question 4 pts
Which information will the nurse monitor to evaluate the effectiveness of
prescribed calcium gluconate IV to treat a patient's hyperkalemia?
Urine volume
Calcium level
➔ Cardiac rhythm
Neurologic status
Calcium gluconate raises the threshold at which dysrhythmias occur,
temporarily stabilizing the myocardium. The nurse will monitor the other
data as well, but these will not be helpful in determining the
effectiveness of the calcium gluconate.
Question 5 pts
Which statement by a patient with stage 5 chronic kidney disease (CKD)
