Galen Advanced Med-Surg Exam 1 (NUR 265)
Questions and Answers A+ Grade 2026/2027 |
Complete Exam 1 Study Guide
Terms in this set (50)
The nurse caring for a client who Administer lisinopril.
has nephrotic syndrome w severe
proteinuria which following axn Rational = ace inhibitor like lisinopril reduces
appropriate? proteinuria decreases intraglomerular pressure
and slows the progression of kidney damage.
Commonly used in the management of nephrotic
syndrome to reduce protein loss in urine.
Nurse is reviewing labs of assigned an abdominal aortic aneurysm AAA repair 2 days
clients, It is priority for nurse to ago has a creatine level that has increased from
follow up w primary health care 0.9 to 2.5 mg/dl
provider who is priority
Rational -- Increased creatine postsurgery is a
sign of AKI
Nurse caring for a client who has A rhythm strip reading that has tall peaked T
been hospitalized for 8 days w waves
acute kidney injury AKI caused by Rational-- Tallpeaked T waves is a sign of
dehydration. which of following hyperkalemia and are unexpected complications.
should nurse report immediately to
primary health care provider
,The nurse is caring for a client who Collect a specimen for gentamicin peak and
is receiving gentamicin trough levels
intravenously for an infection and
has developed oliguria and an Rational: collect peak and trough to see if the
increased blood pressure. which of ABX are working for the pt.
the following is a priority nursing
action
The nurse is caring for the client Obtain a blood specimen for arterial blood gases
who has chronic kidney disease ABG.
CKD. The client has developed an
increase in the rate and depth of Rational: An increase rate and depth of
respirations. After raising the client's respirations with CKD can be a sign of metabolic
head of the bed HOB. Which of the acidosis = Kussmauls respirations
following actions should the nurse
take next?
The nurse is talking with a client I try and limit my intake of dietary sodium to 5
who has chronic kidney disease grams per day
CKD and is receiving hemodiaylsis
3 times per week. Which of the Rational: pt on hemodiaylsis should be
following client statements is a consuming 2-4 grams of salt NA /dayand should
priority for follow up by the nurse. be educated on avoiding salting food using salt
substitutes and reading labels of processed NA
intake .
, The nurse is teaching a client who is If i develop any muscle weakness or tremors.I
in the late stage of chronic kidney should report it to my doctor.
disease CKD Which of the following
client statements indicates a correct Rational:Pt should report muscle weakness
understanding of the teaching? /tremors this is a sign of hypokalemia post
dialysis
The nurse is caring for a client who Developed a temperature of 101.4 F
had hemodiaylsis treatment the day
before It requires immediate follow Rational: A slight fever (99.8)( nothing above 101)
up by the nurse if the client has is normal / expected after dialysis due to
warming up the distillate
The nurse is caring for assigned Place a mask on a client when changing the
clients. Which of the following clients peritoneal dialysis PD catheter dressing
actions should the nurse take
Rational: clients receiving peritoneal dialysis are
at risk for infection you want to place a mask on
them to protect them from pathogens.
the nurse preceptor is observing a Repositioning the client during dialysis to
newly hired nurse care for a client improve daiyslate flow
who is receiving peritoneal dialysis
PD. It indicates correct techniques if Rational: Never use the microwave Must clean
the newly hired nurse is observed cath site to avoid infection placing on bed will
not allow gravity to increase flow ----
you want to reposition the client to improve flow
by using gravity
The nurse is assessing a newly Back pain
admitted client who has acute
pancreatitis. Which of the following Rational: Pt w acute pancreatitis will have the
should the nurse expect to assess following expected symptoms: severe constant
pain mild epigastric LUQ pain, Back pain N/V
Boring pain - worsening pain with supine
position, relief with fetal position.
Questions and Answers A+ Grade 2026/2027 |
Complete Exam 1 Study Guide
Terms in this set (50)
The nurse caring for a client who Administer lisinopril.
has nephrotic syndrome w severe
proteinuria which following axn Rational = ace inhibitor like lisinopril reduces
appropriate? proteinuria decreases intraglomerular pressure
and slows the progression of kidney damage.
Commonly used in the management of nephrotic
syndrome to reduce protein loss in urine.
Nurse is reviewing labs of assigned an abdominal aortic aneurysm AAA repair 2 days
clients, It is priority for nurse to ago has a creatine level that has increased from
follow up w primary health care 0.9 to 2.5 mg/dl
provider who is priority
Rational -- Increased creatine postsurgery is a
sign of AKI
Nurse caring for a client who has A rhythm strip reading that has tall peaked T
been hospitalized for 8 days w waves
acute kidney injury AKI caused by Rational-- Tallpeaked T waves is a sign of
dehydration. which of following hyperkalemia and are unexpected complications.
should nurse report immediately to
primary health care provider
,The nurse is caring for a client who Collect a specimen for gentamicin peak and
is receiving gentamicin trough levels
intravenously for an infection and
has developed oliguria and an Rational: collect peak and trough to see if the
increased blood pressure. which of ABX are working for the pt.
the following is a priority nursing
action
The nurse is caring for the client Obtain a blood specimen for arterial blood gases
who has chronic kidney disease ABG.
CKD. The client has developed an
increase in the rate and depth of Rational: An increase rate and depth of
respirations. After raising the client's respirations with CKD can be a sign of metabolic
head of the bed HOB. Which of the acidosis = Kussmauls respirations
following actions should the nurse
take next?
The nurse is talking with a client I try and limit my intake of dietary sodium to 5
who has chronic kidney disease grams per day
CKD and is receiving hemodiaylsis
3 times per week. Which of the Rational: pt on hemodiaylsis should be
following client statements is a consuming 2-4 grams of salt NA /dayand should
priority for follow up by the nurse. be educated on avoiding salting food using salt
substitutes and reading labels of processed NA
intake .
, The nurse is teaching a client who is If i develop any muscle weakness or tremors.I
in the late stage of chronic kidney should report it to my doctor.
disease CKD Which of the following
client statements indicates a correct Rational:Pt should report muscle weakness
understanding of the teaching? /tremors this is a sign of hypokalemia post
dialysis
The nurse is caring for a client who Developed a temperature of 101.4 F
had hemodiaylsis treatment the day
before It requires immediate follow Rational: A slight fever (99.8)( nothing above 101)
up by the nurse if the client has is normal / expected after dialysis due to
warming up the distillate
The nurse is caring for assigned Place a mask on a client when changing the
clients. Which of the following clients peritoneal dialysis PD catheter dressing
actions should the nurse take
Rational: clients receiving peritoneal dialysis are
at risk for infection you want to place a mask on
them to protect them from pathogens.
the nurse preceptor is observing a Repositioning the client during dialysis to
newly hired nurse care for a client improve daiyslate flow
who is receiving peritoneal dialysis
PD. It indicates correct techniques if Rational: Never use the microwave Must clean
the newly hired nurse is observed cath site to avoid infection placing on bed will
not allow gravity to increase flow ----
you want to reposition the client to improve flow
by using gravity
The nurse is assessing a newly Back pain
admitted client who has acute
pancreatitis. Which of the following Rational: Pt w acute pancreatitis will have the
should the nurse expect to assess following expected symptoms: severe constant
pain mild epigastric LUQ pain, Back pain N/V
Boring pain - worsening pain with supine
position, relief with fetal position.
