NUR 213 Test 1 Exam #1 Question with verified
answers
A nurse assesses a client with renal insufficiency and a low red blood cell count. The client
asks, Is my anemia related to the renal insufficiency? How should the nurse respond?
a. Red blood cells produce erythropoietin, which increases blood flow to the kidneys.
b. Your anemia and renal insufficiency are related to inadequate vitamin D and a loss of
bone density.
c. Erythropoietin is usually released from the kidneys and stimulates red blood cell
production in the bone marrow.
d. Kidney insufficiency inhibits active transportation of red blood cells throughout the
blood.- √√C
A nurse is caring for a postoperative 70-kg client who had major blood loss during surgery.
Which findings by the nurse should prompt immediate action to prevent acute kidney
injury? (Select all that apply.)
a. Urine output of 100 mL in 4 hours
b. Urine output of 500 mL in 12 hours
c. Large amount of sediment in the urine
d. Amber, odorless urine
e. Blood pressure of 90/60 mm Hg- √√A, C, E
What findings would require immediate action to prevent acute kidney injury in a patient
with volume loss?- √√- Volume loss
- Lack of perfusion
- (hypotension & oliguria)
The nurse is assessing a client with a diagnosis of pre-renal acute kidney injury (AKI). Which
condition would the nurse expect to find in the clients recent history?
a. Pyelonephritis
b. Myocardial infarction
c. Bladder cancer
d. Kidney stones- √√B
What are the causes of pre-renal acute kidney injury?- √√- blood loss, dehydration
- diabetes, shock, decreased cardiac output
,A nurse cares for a client who has elevated levels of antidiuretic hormone (ADH). Which
disorder should the nurse identify as a trigger for the release of this hormone?
a. Pneumonia
b. Dehydration
c. Renal failure
d. Edema- √√B
A client with chronic renal failure is admitted with a heart rate of 122 beats/minute, a
respiratory rate of 32 breaths/minute, a blood pressure of 190/110 mm Hg, jugular vein
distention, and bibasilar crackles. Which nursing diagnosis takes highest priority for this
client?- √√- excess fluid volume (fluid overload)
A nurse assesses a client who is recovering from a radical nephrectomy for renal cell
carcinoma. The nurse notes that the clients blood pressure has decreased from 134/90 to
100/56 mm Hg and urine output is 20 mL for this past hour. Which action should the nurse
take?
a. Position the client to lay on the surgical incision.
b. Measure the specific gravity of the clients urine.
c. Administer intravenous pain medications.
d. Assess the rate and quality of the clients pulse.- √√D
A client is admitted with acute kidney injury (AKI) and a urine output of 2000 mL/day. What
is the major concern of the nurse regarding this clients care?
a. Edema and pain
b. Electrolyte and fluid imbalance
c. Cardiac and respiratory status
d. Mental health status- √√B
A client is taking furosemide (Lasix) 40 mg/day for management of chronic kidney disease
(CKD). To detect the positive effect of the medication, what action of the nurse is best?
a. Obtain daily weights of the client.
b. Auscultate heart and breath sounds.
c. Palpate the clients abdomen.
d. Assess the clients diet history.- √√A
A client is placed on fluid restrictions because of chronic kidney disease (CKD). Which
assessment finding would alert the nurse that the clients fluid balance is stable at this time?
, a. Decreased calcium levels
b. Increased phosphorus levels
c. No adventitious sounds in the lungs
d. Increased edema in the legs- √√C
A client is recovering from a kidney transplant. The clients urine output was 1500 mL over
the last 12-hour period since transplantation. What is the priority assessment by the nurse?
a. Checking skin turgor
b. Taking blood pressure
c. Assessing lung sounds
d. Weighing the client- √√B
What would the nurse do initially for a patient with the nursing diagnosis of fluid overload?-
√√- daily weights
- strict I/O's
- VS
- restrict fluids
- teach about low sodium diet
The nurse is caring for a child with acute renal failure. What laboratory findings should the
nurse expect to find? (Select all that apply.)
a. Hyponatremia
b. Hyperkalemia
c. Metabolic alkalosis
d. Elevated blood urea nitrogen level
e. Decreased plasma creatinine level- √√A, B, D
Kidney failure patients are at risk for which electrolyte imbalances?- √√- hyperkalemia
What is an appropriate nursing action for a patient with hyperkalemia?- √√- cardiac
monitoring
- contact the provider
- review medication history to find reason for holding onto potassium
- switch patient to a potassium sparring diuretic (lasix)
answers
A nurse assesses a client with renal insufficiency and a low red blood cell count. The client
asks, Is my anemia related to the renal insufficiency? How should the nurse respond?
a. Red blood cells produce erythropoietin, which increases blood flow to the kidneys.
b. Your anemia and renal insufficiency are related to inadequate vitamin D and a loss of
bone density.
c. Erythropoietin is usually released from the kidneys and stimulates red blood cell
production in the bone marrow.
d. Kidney insufficiency inhibits active transportation of red blood cells throughout the
blood.- √√C
A nurse is caring for a postoperative 70-kg client who had major blood loss during surgery.
Which findings by the nurse should prompt immediate action to prevent acute kidney
injury? (Select all that apply.)
a. Urine output of 100 mL in 4 hours
b. Urine output of 500 mL in 12 hours
c. Large amount of sediment in the urine
d. Amber, odorless urine
e. Blood pressure of 90/60 mm Hg- √√A, C, E
What findings would require immediate action to prevent acute kidney injury in a patient
with volume loss?- √√- Volume loss
- Lack of perfusion
- (hypotension & oliguria)
The nurse is assessing a client with a diagnosis of pre-renal acute kidney injury (AKI). Which
condition would the nurse expect to find in the clients recent history?
a. Pyelonephritis
b. Myocardial infarction
c. Bladder cancer
d. Kidney stones- √√B
What are the causes of pre-renal acute kidney injury?- √√- blood loss, dehydration
- diabetes, shock, decreased cardiac output
,A nurse cares for a client who has elevated levels of antidiuretic hormone (ADH). Which
disorder should the nurse identify as a trigger for the release of this hormone?
a. Pneumonia
b. Dehydration
c. Renal failure
d. Edema- √√B
A client with chronic renal failure is admitted with a heart rate of 122 beats/minute, a
respiratory rate of 32 breaths/minute, a blood pressure of 190/110 mm Hg, jugular vein
distention, and bibasilar crackles. Which nursing diagnosis takes highest priority for this
client?- √√- excess fluid volume (fluid overload)
A nurse assesses a client who is recovering from a radical nephrectomy for renal cell
carcinoma. The nurse notes that the clients blood pressure has decreased from 134/90 to
100/56 mm Hg and urine output is 20 mL for this past hour. Which action should the nurse
take?
a. Position the client to lay on the surgical incision.
b. Measure the specific gravity of the clients urine.
c. Administer intravenous pain medications.
d. Assess the rate and quality of the clients pulse.- √√D
A client is admitted with acute kidney injury (AKI) and a urine output of 2000 mL/day. What
is the major concern of the nurse regarding this clients care?
a. Edema and pain
b. Electrolyte and fluid imbalance
c. Cardiac and respiratory status
d. Mental health status- √√B
A client is taking furosemide (Lasix) 40 mg/day for management of chronic kidney disease
(CKD). To detect the positive effect of the medication, what action of the nurse is best?
a. Obtain daily weights of the client.
b. Auscultate heart and breath sounds.
c. Palpate the clients abdomen.
d. Assess the clients diet history.- √√A
A client is placed on fluid restrictions because of chronic kidney disease (CKD). Which
assessment finding would alert the nurse that the clients fluid balance is stable at this time?
, a. Decreased calcium levels
b. Increased phosphorus levels
c. No adventitious sounds in the lungs
d. Increased edema in the legs- √√C
A client is recovering from a kidney transplant. The clients urine output was 1500 mL over
the last 12-hour period since transplantation. What is the priority assessment by the nurse?
a. Checking skin turgor
b. Taking blood pressure
c. Assessing lung sounds
d. Weighing the client- √√B
What would the nurse do initially for a patient with the nursing diagnosis of fluid overload?-
√√- daily weights
- strict I/O's
- VS
- restrict fluids
- teach about low sodium diet
The nurse is caring for a child with acute renal failure. What laboratory findings should the
nurse expect to find? (Select all that apply.)
a. Hyponatremia
b. Hyperkalemia
c. Metabolic alkalosis
d. Elevated blood urea nitrogen level
e. Decreased plasma creatinine level- √√A, B, D
Kidney failure patients are at risk for which electrolyte imbalances?- √√- hyperkalemia
What is an appropriate nursing action for a patient with hyperkalemia?- √√- cardiac
monitoring
- contact the provider
- review medication history to find reason for holding onto potassium
- switch patient to a potassium sparring diuretic (lasix)
