NUR 419 Exam Renal with 100% Correct Questions and Answers

NUR 419 Exam Renal with 100% Correct Questions and Answers To assess whether or not an atrioventricular fistula is functioning, what must be done and why? - CORRECT ANSWER Palpate gently over the site of the fistula to determine if a thrill is present; listen with stethoscope over the site to appreciate a bruit to assess the quality of the blood flow. Which of the following manifestations is always present in acute renal failure? - CORRECT ANSWER Decrease in glomerular filtration rate (GFR). he nurse notes the following in the client with chronic renal failure: crackles in the lung bases, elevated blood pressure, and weight gain of 2 pounds in 1 day. Based on these data, which of the following nursing diagnoses is appropriate? - CORRECT ANSWER Excess fluid volume related to the kidney's inability to maintain fluid balance. A client has chronic renal failure with persistent hypertension. The nurse's actions are guided by the knowledge that this hypertension is from which one of the following mechanisms? - CORRECT ANSWER Renin-angiotensin-aldosterone system? Which of the following is an appropriate reason for CRRT to be chosen for a patient? - CORRECT ANSWER It is indicated for patients who require large-volume removal for severe uremia or critical acid-base imbalances. The patient reports all the following conditions during the medical history. Which is most likely to have precipitated the patient's renal failure? - CORRECT ANSWER Recent computed tomography of the brain with contrast. The client with chronic renal failure complains of feeling nauseated at least part of the day. The nurse should explain that the nausea is the result of - CORRECT ANSWER Accumulation of waste products in the blood? The client receives heparin while on hemodialysis. The nurse explains the anticoagulation process by making which of the following statements? - CORRECT ANSWER "Regional anticoagulation is achieved by putting heparin in the dialysis machine and protamine sulfate, which reverses the anticoagulation, into the client." One therapeutic measure for treating hyperkalemia is the administration of dextrose and regular insulin. How do these agents lower potassium? - CORRECT ANSWER They force potassium out of the serum and into the cells, thus causing serum potassium levels to decrease