ATI Renal GU Practice Questions

A nurse is caring for a client who has chronic kidney disease (CKD) and states she has heartburn. The provider prescribes aluminum hydroxide. The client asks, "Why can't I just take the antacid magaldrate my husband has at home?" The nurse explains to the client that aluminum hydroxide is the preferred antacid because it lowers which of the following? 1. Serum phosphorus levels 2. Serum potassium levels 3. Serum magnesium levels 4. Serum calcium levels - 1. Serum phosphorus levels A nurse is reviewing the arterial blood gas values of a client who has chronic kidney disease. Which of the following sets of values should nurse expect? 1. pH 7.25, HCO3-19 mEq/L, PaCO2 30 mm Hg 2. pH 7.30, HCO3-26 mEq/L, PaCO2 50 mm Hg 3. pH 7.50, HCO3-20 mEq/L, PaCO2 32 mm Hg 4. pH 7.55, HCO3- 30 mEq/L, PaCO2 31 mm HG - 1. pH 7.25, HCO3-19 mEq/L, PaCO2 30 mm Hg A nurse is reviewing the medical record of a client who has a urinary tract infection (UTI). Which of the following findings should the nurse recognize as a risk factor? 1. COPD 2. Diabetes mellitus 3. Anemia 4. Osteoporosis - 2. Diabetes mellitus A nurse is providing dietary teaching to a client who has frequent kidney stones. Which of the following instructions should the nurse include in the teaching? 1. "Limit your intake of dairy products." 2. "Increase the amount of protein in your diet." 3. "Avoid eating tree nuts, such as almonds." 4. "Take a vitamin C supplement twice daily." - 3. "Avoid eating tree nuts, such as almonds." A nurse is caring for a client who is receiving peritoneal dialysis. The nurse should monitor the client for which of the following manifestations of peritonitis? 1. Hyperactive bowel sounds 2. Nausea and vomiting 3. Bradycardia 4. Increased urinary output - 2. Nausea and vomiting A nurse in a dialysis center is caring for a client who has a new diagnosis of end-stage kidney disease. When he arrives for his first dialysis treatment, he tells the nurse, "I decided to come today, but I am not sure if I will need to come back again this week. I am feeling much better since my discharge from the hospital and I think y kidneys are working again." The nurse should identify that this client is demonstrating which of the following Kubler-Ross stag