FLUID AND ELECTROLYTE ACTUAL COMPLETE
EXAM|WITH ACCURATE QUESTIONS AND VERIFIED
ANSWERS|GRADED A
The nurse is caring for a client who has had an insertion of an
arteriovenous graft (AVG) in the right forearm and has symptoms of
pain and coldness of the right fingers. Which of the following actions
should the nurse take?
a. Elevate the client's arm above the level of the heart.
b. Report the client's symptoms to the health care provider.
c. Remind the client about the need to take a daily low-dose Aspirin
tablet.
d. Educate the client about the normal vascular response after AVG
insertion. Ans✓✓✓ B
The nurse is caring for a client with acute kidney injury (AKI) who has
an arterial blood pH of 7.30. Which of the following assessment findings
should the nurse anticipate?
a. V asodilation
b. Poor skin turgor
c. Bounding pulses
d. Rapid respirations Ans✓✓✓ d
The nurse is caring for a client with severe heart failure who develops
elevated blood urea nitrogen (BUN) and creatinine levels. The nurse will
plan care to meet which of the following goals of treatment?
a. Replace fluid volume
,b. Prevent hypertension
c. Maintain cardiac output
d. Dilute nephrotoxic substances Ans✓✓✓ C
The nurse is caring for a client with stage 2 chronic kidney disease
(CKD) who is scheduled for an intravenous pyelogram (IVP). Which of
the following prescriptions for the client should the nurse question?
a. NPO for 6 hours before IVP procedure
b. Normal saline 500 mL IV before procedure
c. Ibuprofen 400 mg PO PRN for pain
d. Dulcolax suppository 4 hours before IVP procedure Ans✓✓✓ C
The nurse is caring for a client with acute glomerulonephritis, acute
kidney injury (AKI), and hyperkalemia who is prescribed calcium
gluconate IV. Which of the following parameters should the nurse assess
to evaluate the effectiveness of the medication?
a. Urine output
b. Calcium level
c. Cardiac rhythm
d. Neurological status Ans✓✓✓ C
The nurse is teaching a client with stage 5 chronic kidney disease (CKD)
about management of CKD. Which of the following client statements
indicate that the teaching was effective?
a. "I need to try to get more protein from dairy products."
, b. "I will try to increase my intake of fruits and vegetables."
c. "I will measure my urinary output each day to help calculate the
amount I can
drink."
d. "I need to take the erythropoietin to boost my immune system and
help prevent Ans✓✓✓ C
The nurse is caring for a client with chronic kidney disease (CKD) who
is prescribed calcium carbonate. Which of the following parameters
should the nurse assess in order to determine the effectiveness of the
treatment?
a. Blood pressure
b. Phosphate level
c. Neurological status
d. Creatinine clearance Ans✓✓✓ B
Which of the following assessments should the nurse complete before
administering sodium polystyrene sulphonate to a client with
hyperkalemia?
a. Blood urea nitrogen (BUN) and creatinine
b. Blood glucose level
c. Client's bowel sounds
d. Level of consciousness (LOC) Ans✓✓✓ C
EXAM|WITH ACCURATE QUESTIONS AND VERIFIED
ANSWERS|GRADED A
The nurse is caring for a client who has had an insertion of an
arteriovenous graft (AVG) in the right forearm and has symptoms of
pain and coldness of the right fingers. Which of the following actions
should the nurse take?
a. Elevate the client's arm above the level of the heart.
b. Report the client's symptoms to the health care provider.
c. Remind the client about the need to take a daily low-dose Aspirin
tablet.
d. Educate the client about the normal vascular response after AVG
insertion. Ans✓✓✓ B
The nurse is caring for a client with acute kidney injury (AKI) who has
an arterial blood pH of 7.30. Which of the following assessment findings
should the nurse anticipate?
a. V asodilation
b. Poor skin turgor
c. Bounding pulses
d. Rapid respirations Ans✓✓✓ d
The nurse is caring for a client with severe heart failure who develops
elevated blood urea nitrogen (BUN) and creatinine levels. The nurse will
plan care to meet which of the following goals of treatment?
a. Replace fluid volume
,b. Prevent hypertension
c. Maintain cardiac output
d. Dilute nephrotoxic substances Ans✓✓✓ C
The nurse is caring for a client with stage 2 chronic kidney disease
(CKD) who is scheduled for an intravenous pyelogram (IVP). Which of
the following prescriptions for the client should the nurse question?
a. NPO for 6 hours before IVP procedure
b. Normal saline 500 mL IV before procedure
c. Ibuprofen 400 mg PO PRN for pain
d. Dulcolax suppository 4 hours before IVP procedure Ans✓✓✓ C
The nurse is caring for a client with acute glomerulonephritis, acute
kidney injury (AKI), and hyperkalemia who is prescribed calcium
gluconate IV. Which of the following parameters should the nurse assess
to evaluate the effectiveness of the medication?
a. Urine output
b. Calcium level
c. Cardiac rhythm
d. Neurological status Ans✓✓✓ C
The nurse is teaching a client with stage 5 chronic kidney disease (CKD)
about management of CKD. Which of the following client statements
indicate that the teaching was effective?
a. "I need to try to get more protein from dairy products."
, b. "I will try to increase my intake of fruits and vegetables."
c. "I will measure my urinary output each day to help calculate the
amount I can
drink."
d. "I need to take the erythropoietin to boost my immune system and
help prevent Ans✓✓✓ C
The nurse is caring for a client with chronic kidney disease (CKD) who
is prescribed calcium carbonate. Which of the following parameters
should the nurse assess in order to determine the effectiveness of the
treatment?
a. Blood pressure
b. Phosphate level
c. Neurological status
d. Creatinine clearance Ans✓✓✓ B
Which of the following assessments should the nurse complete before
administering sodium polystyrene sulphonate to a client with
hyperkalemia?
a. Blood urea nitrogen (BUN) and creatinine
b. Blood glucose level
c. Client's bowel sounds
d. Level of consciousness (LOC) Ans✓✓✓ C
