Critical Care Exam #3 questions well
answered
1. The nurse is providing care for a newly admitted client with hepatic failure. Which
intervention should the nurse perform when providing care for this patient? - ANS ✔✔-
encourage high protein
-monitor BUN, ALT
-measure abdominal girth
-take glucometer every 2 to 4
-give stool softeners
2. The client is in the ICU is receiving continous renal replacement therapy due to acute kidney
injury AKI, the nurse detects blood leaking from the central venous catheter insertion site, what
action should the nurse perform after receiving elevated clotting times?
-lie the patient on their back
-decrease the infusion rate
-obtain electrolyte level
-lower heparin dose - ANS ✔✔ANS-lower heparin dose
3. The client with chronic kidney disease presents with severe anemia, the nurse administers a
dose of epoition alfa, during the hemodialysis procedure,which finding indicates the med
worked?
-increased urine output,
-decreased BUN
,-increased oxygen
-increased hemoglobin - ANS ✔✔ANS- hemoglobin
4. A patient with stage 5 chronic kidney disease is experiencing extreme pruritus, and sever
areas of crystallized white deposits on the skin. As the nurse you know that this is due to
excessive amounts of - ANS ✔✔ANS-urea
5. The nurse is applying care for a client in need of surgical intensive care. The client is one day
post liver transplant. What intervention should the nurse include in the plan of care?
-monitor temp every 4
-increase fruit and vegetables
-assess lungs 12
-assist client to ambulate - ANS ✔✔ANS-monitor temp q4hr
6. You are providing education to a patient with CKD about calcium acetate. what statement
made by the patient indicates they understood your teaching about the medication. SATA.
-Its important to consume high amounts of oatmeal, fish and deer
-take this med with meals or immediately after
-this med will help keep my calcium levels normal
-this med will help prevent my phosphate level from increasing - ANS ✔✔ANS-the med will help
prevent my phosphate level from increasing
ANS--take this med with meals or immediately after
7. The nurse is preparing the client with acute kidney injury for hemodialysis with in the ICU.
What assessment should the nurse obtain prior to begining the procedure?
, -weight pt in the ICU bed scale
-assess the fistula site
-assess urine color
-assess cap refill - ANS ✔✔ANS- weight pt in ICU bed scale
8. The nurse is caring for a client admittied to the surgical ICU on the first day post op after a
kidney transplant. What information should the nurse include in the plan of care to prevent
hypovolemia?
-provide sport drinks for hydration
-give 1:1 IV fluids input and output
-increase sodium - ANS ✔✔ANS-give IV 1:1
9. SATA You are providing patient education with active hepatitis B. What will you include in the
discharge instructions?
-eat large meals that are spread out throughout the day.
-follow a diet low in fat and high in carbs
-do not share razors, utilences, touthbrushes and other types of personal hygine
-perform aerobic excerises daily
-acetaminophene - ANS ✔✔ANS
- follow a diet low in fat and high in carbs
- do not share razors, utilences, touthbrushes and other types of personal hygine
10. (sole 15, q 9)The nurse is caring for a patient who has undergone major abdominal surgery.
The nurse notices that the patient's urine output has been less than 20 mL/hour for the past 2
hours. It is 0200 in the morning. The patient's blood pressure is 100/60 mm Hg, and the pulse is
answered
1. The nurse is providing care for a newly admitted client with hepatic failure. Which
intervention should the nurse perform when providing care for this patient? - ANS ✔✔-
encourage high protein
-monitor BUN, ALT
-measure abdominal girth
-take glucometer every 2 to 4
-give stool softeners
2. The client is in the ICU is receiving continous renal replacement therapy due to acute kidney
injury AKI, the nurse detects blood leaking from the central venous catheter insertion site, what
action should the nurse perform after receiving elevated clotting times?
-lie the patient on their back
-decrease the infusion rate
-obtain electrolyte level
-lower heparin dose - ANS ✔✔ANS-lower heparin dose
3. The client with chronic kidney disease presents with severe anemia, the nurse administers a
dose of epoition alfa, during the hemodialysis procedure,which finding indicates the med
worked?
-increased urine output,
-decreased BUN
,-increased oxygen
-increased hemoglobin - ANS ✔✔ANS- hemoglobin
4. A patient with stage 5 chronic kidney disease is experiencing extreme pruritus, and sever
areas of crystallized white deposits on the skin. As the nurse you know that this is due to
excessive amounts of - ANS ✔✔ANS-urea
5. The nurse is applying care for a client in need of surgical intensive care. The client is one day
post liver transplant. What intervention should the nurse include in the plan of care?
-monitor temp every 4
-increase fruit and vegetables
-assess lungs 12
-assist client to ambulate - ANS ✔✔ANS-monitor temp q4hr
6. You are providing education to a patient with CKD about calcium acetate. what statement
made by the patient indicates they understood your teaching about the medication. SATA.
-Its important to consume high amounts of oatmeal, fish and deer
-take this med with meals or immediately after
-this med will help keep my calcium levels normal
-this med will help prevent my phosphate level from increasing - ANS ✔✔ANS-the med will help
prevent my phosphate level from increasing
ANS--take this med with meals or immediately after
7. The nurse is preparing the client with acute kidney injury for hemodialysis with in the ICU.
What assessment should the nurse obtain prior to begining the procedure?
, -weight pt in the ICU bed scale
-assess the fistula site
-assess urine color
-assess cap refill - ANS ✔✔ANS- weight pt in ICU bed scale
8. The nurse is caring for a client admittied to the surgical ICU on the first day post op after a
kidney transplant. What information should the nurse include in the plan of care to prevent
hypovolemia?
-provide sport drinks for hydration
-give 1:1 IV fluids input and output
-increase sodium - ANS ✔✔ANS-give IV 1:1
9. SATA You are providing patient education with active hepatitis B. What will you include in the
discharge instructions?
-eat large meals that are spread out throughout the day.
-follow a diet low in fat and high in carbs
-do not share razors, utilences, touthbrushes and other types of personal hygine
-perform aerobic excerises daily
-acetaminophene - ANS ✔✔ANS
- follow a diet low in fat and high in carbs
- do not share razors, utilences, touthbrushes and other types of personal hygine
10. (sole 15, q 9)The nurse is caring for a patient who has undergone major abdominal surgery.
The nurse notices that the patient's urine output has been less than 20 mL/hour for the past 2
hours. It is 0200 in the morning. The patient's blood pressure is 100/60 mm Hg, and the pulse is
