Nursing 201 - Final Review questions and answers 2023/24

Nursing 201 - Final Review questions and answers 2023/24 The nurse is caring for a PT recieving peritoneal dialysis. The PT suddenly complains of abdominal pain and chills. The PT's temperature is elevated. The nurse should do which of the following? A. Inform the provider of probable visceral perforation B. Check the PTs blood sugar C. Assess peritoneal dialysate return D. Evaluate the PTs neurological status - C You are caring for a PT who has hemodialysis later this morning. Which of the following is an appropriate nursing intervention? A. Give all medications prior to going to hemodialysis B. Give all medication except antihypertensive before going to hemodialysis C. Check PTs weight and review morning labs for abnormal to call to nephrologist D. Hold the PTs breakfast tray. She should be NPO for dialysis - C Your PTs UA reveals a large number of WBC in the urine. How would this finding be documented in the medical record? A. Hematuria B. Bacturia C. Pyuria D. Leucoyturia - C You are caring for a PT admitted with chronic renal failure. You recognize that CRF increases the PTs risk for: A. water and sodium retention secondary to a severe decrease in the glomerular filtration rate B. an increased serum calcium level secondary to kidney failure C. metabolic alkalosis secondary to retention of hydrogen ions D. a decreased serum phosphate level secondary to kidney failure - A You are caring for a PT who is status post renal transplant. Which signs would alert the nurse to the life threatening complication of acute graft rejection? A. fever, vomiting, hypotension, and copious amounts of dilute urine B. fever, hypertension, graft tenderness, and malaise C. hypertension, oliguria, thirst, and hypothermia D. hypotension, graft tenderness, and anemia - B You are caring for the following PTs. Which PT is most likely to develop chronic kidney disease? A. A 28-year old Native American female with a urinary tract infection B. A 50-year old white female with HTN C. A 61-year old African American male with diabetes D. A 40-year old Hispanic female with cardiovascular disease - C You are caring for a PT who had a kidney transplant earlier in the day. You assess a urine output of 2L over the past 8 hours. Which assessment would you perform next? A. Skin turgor B. Weight of the client C. Blood pressure D. Serum blood urea nitrogen (BUN) level - C The client with diabetes mellitus reports having difficulty cutting his toenails. The nurse assesses the toenails and notes the nails are thick and ingrown. Which of the following recommendations should be provided? A. Cut the nails straight across with a clipper after the bath B. Make an appointment with a nail shop for a pedicure C. make an appoint