Hesi case study: Chronic Kidney Disease Questions And Answers Rated A+

After the nurse completes an assessment, what findings are most important to report to the healthcare provider (HCP)? (Select all that apply) - - Blood pressure of 178/92 mmHg - Respiratory rate of 28 breaths per minute - Bibasilar crackles - Edema Based on the client's symptoms, what should the nurse suspect? - The client has uremia and may need to start dialysis Based on the nurse's assessment, which cues support the decision to administer pain medication as the first intervention? (Select all that apply) - - Pain rating of 6/10 - Heart rate of 102 beats/minute - Blood pressure of 132/76 mmHg Based on these problems, which nursing intervention should be included in the client's plan of care? - Encourage the client to ask questions and discuss fears about diagnosis The client asks the nurse to clarify what palliative care involves. Which explanation provides the client with the best education regarding palliative care? - - Palliative care provides relief from symptoms including pain - Palliative care supports holistic care and improves quality of life The client's hemoglobin level is 7.8 g/dL (78 g/L). What action should the nurse take? - Obtain a prescription to start an erythropoietin stimulating agent (ESA) The nurse assesses the dialysis graft. Which assessment should be reported to the healthcare provider (HCP) immediately? (Select all that apply) - - Yellow, purulent drainage from the graft incision site - Absence of a thrill over the graft site- Capillary refill >10 seconds in the hand where the graft is placed The nurse documents the assessment of the arteriovenous (AV) graft. Which documentation best describes a property functioning AV graft? - Thrill present and palpated The nurse is preparing to give the client's medications. The anti-thymocyte globulin (ATG) comes in a vial with 25mg/10mL. The clients weighs 132 lbs (60 kg). The thymoglobulin will be infused over 6 hours. What rate should the nurse program on the infusion pump? - 18 The nurse is teaching the client about progression of CKD. Which evaluation statement documented by the nurse indicates the client's understanding of the disease process? - The clients acknowledges that renal replacement therapy will need to be initiated immediately The nurse is teaching the patient about fluid management between dialysis treatments. Which instruction by the nurse is the most accurate? - Limit fluids in between treatments to minimize the amount of fluid that needs to be removed during dialysis The nurse prepares and instructs the client for hemodialysis. Which affirmations by the client indicates the need for further teaching? - - Hemodialysis will help restore kidney function back to normal - Bowel or badder perforation may occur with hemodialysis catheter placement The nurse reviews the client's medical history. What part of the history should the nurse consider relevant to the client's current history? (Select all that apply) - - Hypertension - Polycystic Kidney Disease - Ethnicity What assessment data supports the diagnosis of acute organ rejection? (Select all that apply) - - Blood pressure of 178/96 mmHg - Sub therapeutic immunosuppression levels - Acute pain rated 6/10 - BUN of 56 mg/dL and creatinine of 1.9 mg/dL - Temperature of 100.6 degrees FWhat complication would the client be most concerned about if choosing peritoneal dialysis? - Abdominal infection What is the best initial response by the nurse? - "Describe the location and type of pain you are having" What is the best nursing intervention for the family member's anger? - Encourage the family member to share frustration regarding the loss of kidney