MARYVILLE UNIVERSITY NURS 661 EXAM 3 | COMPLETE
QUESTIONS WITH 100% RATED EXPERT SOLUTIONS |2026 LATEST
UPDATED
The patient with chronic renal failure who is scheduled for hemodialysis this morning is
scheduled to receive a daily dose of enalapril. The nurse plans to administer this medication:
A. During dialysis
B. Just before dialysis
C. The day after dialysis
D. Upon return from dialysis - (answer)D. Upon return from dialysis
Antihypertensive medications, such as enalapril, are administered to the patient following
hemodialysis. This prevents the patient from becoming hypotensive during dialysis and also
having the medication removed from the bloodstream by dialysis. There is no rationale for
waiting a full day to resume this medication, and could lead to ineffective control of the blood
pressure.
,A patient with a history of heart failure who is undergoing peritoneal dialysis has developed
crackles in the lower lung fields. The nurse interprets this finding is most likely related to:
A. Natural progression of renal failure
B. Compliance with dietary sodium restriction
C. Intake greater than output on the dialysis record
D. Adherence to digoxin therapy schedule - (answer)C. Intake greater than output on the dialysis
record
Crackles in the lung fields of the peritoneal dialysis patient result from overhydration or from
insufficient fluid removal during dialysis. An intake that is greater than the output of peritoneal
dialysis would overhydrate the patient, resulting in lung crackles. Adherence to medication and
diet therapy should control this sign, not exacerbate it. If dialysis is effective, there is no
connection between the progression of renal failure.
Which assessment data reported by a 28-year-old client (assigned female at birth) is consistent
with a lower urinary tract infection (UTI)?
,A. Poor urine output
B. Bilateral flank pain
C. Nausea and vomiting
D. Burning on urination - (answer)D. Burning on urination
Pain with urination is a common symptom of a lower UTI. Urine output does not decrease, but
frequency may be experienced. Flank pain and nausea are associated with an upper UTI.
Nursing staff on a hospital unit are reviewing rates of hospital-acquired infections (HAI) of the
urinary tract. Which nursing action will be most helpful in decreasing the risk for HAI in clients
admitted to the hospital?
A. Encouraging adequate oral fluid intake
B. Testing urine with a dipstick daily for nitrites
, C. Avoiding unnecessary urinary catheterizations
D. Providing frequent perineal hygiene to patients - (answer)C. Avoiding unnecessary urinary
catheterizations
Because catheterization bypasses many of the protective mechanisms that prevent urinary tract
infection (UTI), avoidance of catheterization is the most effective means of reducing HAI. The
other actions will also be helpful, but are not as useful as decreasing urinary catheter use.
The nurse is caring for an acutely ill client. What assessment finding should prompt the nurse to
inform the physician that the client may be exhibiting signs of acute kidney injury (AKI)?
A. The client's average urine output has been 10 mL/hr for several hours.
B. The client reports an inability to initiate voiding.
C. The client's urine is cloudy with a foul odor.
QUESTIONS WITH 100% RATED EXPERT SOLUTIONS |2026 LATEST
UPDATED
The patient with chronic renal failure who is scheduled for hemodialysis this morning is
scheduled to receive a daily dose of enalapril. The nurse plans to administer this medication:
A. During dialysis
B. Just before dialysis
C. The day after dialysis
D. Upon return from dialysis - (answer)D. Upon return from dialysis
Antihypertensive medications, such as enalapril, are administered to the patient following
hemodialysis. This prevents the patient from becoming hypotensive during dialysis and also
having the medication removed from the bloodstream by dialysis. There is no rationale for
waiting a full day to resume this medication, and could lead to ineffective control of the blood
pressure.
,A patient with a history of heart failure who is undergoing peritoneal dialysis has developed
crackles in the lower lung fields. The nurse interprets this finding is most likely related to:
A. Natural progression of renal failure
B. Compliance with dietary sodium restriction
C. Intake greater than output on the dialysis record
D. Adherence to digoxin therapy schedule - (answer)C. Intake greater than output on the dialysis
record
Crackles in the lung fields of the peritoneal dialysis patient result from overhydration or from
insufficient fluid removal during dialysis. An intake that is greater than the output of peritoneal
dialysis would overhydrate the patient, resulting in lung crackles. Adherence to medication and
diet therapy should control this sign, not exacerbate it. If dialysis is effective, there is no
connection between the progression of renal failure.
Which assessment data reported by a 28-year-old client (assigned female at birth) is consistent
with a lower urinary tract infection (UTI)?
,A. Poor urine output
B. Bilateral flank pain
C. Nausea and vomiting
D. Burning on urination - (answer)D. Burning on urination
Pain with urination is a common symptom of a lower UTI. Urine output does not decrease, but
frequency may be experienced. Flank pain and nausea are associated with an upper UTI.
Nursing staff on a hospital unit are reviewing rates of hospital-acquired infections (HAI) of the
urinary tract. Which nursing action will be most helpful in decreasing the risk for HAI in clients
admitted to the hospital?
A. Encouraging adequate oral fluid intake
B. Testing urine with a dipstick daily for nitrites
, C. Avoiding unnecessary urinary catheterizations
D. Providing frequent perineal hygiene to patients - (answer)C. Avoiding unnecessary urinary
catheterizations
Because catheterization bypasses many of the protective mechanisms that prevent urinary tract
infection (UTI), avoidance of catheterization is the most effective means of reducing HAI. The
other actions will also be helpful, but are not as useful as decreasing urinary catheter use.
The nurse is caring for an acutely ill client. What assessment finding should prompt the nurse to
inform the physician that the client may be exhibiting signs of acute kidney injury (AKI)?
A. The client's average urine output has been 10 mL/hr for several hours.
B. The client reports an inability to initiate voiding.
C. The client's urine is cloudy with a foul odor.
