EXAM STUDY MATERIALS 8/7/2024 11:29 AM
Renal nclex review 11 and 12 Exam
Questions With Correct Answers.
79. 3. The nurse must always palpate for a thrill and auscultate for a bruit in the arm with the
fistula and promptly report the absence of either/or a thrill or bruit to the health care provider as
it indicates an occlusion. No procedures such as IV access, blood pressure measurements, or
blood draws are done on an arm with a fistula as they could damage the fistula. - answer✔✔79.A
client with chronic renal failure is receiving hemodialysis three times a week. In order to protect
the fistula the nurse should:
1.Take the blood pressure in the arm with the fistula.
2.Report the loss of a thrill or bruit on the arm with the fistula.
3.Auscultate for a thrill and palpate for a bruit on the arm with the fistula.
4.Start a second IV in the arm with the fistula.
80. 2, 4, 5. To manage nausea, the nurse can advise the client to drink limited amounts of fluid
only when thirsty, eat food before drinking fluids to alleviate dry mouth, encourage strict follow-
up for blood work, dialysis, and health care provider visits. Smaller, more frequent meals may
help to reduce nausea and facilitate medication taking. The client should be as active as possible
to avoid immobilization because it increases bone demineralization. The client should also
maintain the dialysis schedule because the dialysis will remove wastes that can contribute to
nausea. - answer✔✔80.A client with chronic renal failure who receives hemodialysis three times
a week is experiencing severe nausea. What should the nurse advise the client to do to manage
the nausea? Select all that apply.
1.Drink fluids before eating solid foods.
2.Have limited amounts of fluids only when thirsty.
3.Limit activity.
4.Keep all dialysis appointments.
5.Eat smaller, more frequent meals.
81. 1. The main reason for warming the peritoneal dialysis solution is that the warm solution
helps dilate peritoneal vessels, which increases urea clearance. Warmed dialyzing solution also
contributes to client comfort by preventing chilly sensations, but this is a secondary reason for
warming the solution. The warmed solution does not force potassium into the cells or promote
, EXAM STUDY MATERIALS 8/7/2024 11:29 AM
abdominal muscle relaxation. - answer✔✔81.The dialysis solution is warmed before use in
peritoneal dialysis primarily to:
1.Encourage the removal of serum urea.
2.Force potassium back into the cells.
3.Add extra warmth to the body.
4.Promote abdominal muscle relaxation.
82. 2. During dwell time, the dialysis solution is allowed to remain in the peritoneal cavity for
the time prescribed by the physician (usually 20 to 45 minutes). During this time, the nurse
should monitor the client's respiratory status because the pressure of the dialysis solution on the
diaphragm can create respiratory distress. The dialysis solution would not cause urticaria or
affect circulation to the fingers. The client's laboratory values are obtained before beginning
treatment and are monitored every 4 to 8 hours during the treatment, not just during the dwell
time. - answer✔✔82.Which of the following assessments would be most appropriate for the
nurse to make while the dialysis solution is dwelling within the client's abdomen?
1.Assess for urticaria.
2.Observe respiratory status.
3.Check capillary refill time.
4.Monitor electrolyte status.
83. 2. Because the client has a permanent catheter in place, blood-tinged drainage should not
occur. Persistent blood-tinged drainage could indicate damage to the abdominal vessels, and the
physician should be notified. The bleeding is originating in the peritoneal cavity, not the kidneys.
Too-rapid infusion of the dialysate can cause pain, not blood-tinged drainage. -
answer✔✔83.During the client's dialysis, the nurse observes that the solution draining from the
abdomen is consistently blood-tinged. The client has a permanent peritoneal catheter in place.
The nurse should interpret that the bleeding:
1.Is expected with a permanent peritoneal catheter.
2.Indicates abdominal blood vessel damage.
3.Can indicate kidney damage.
4.Is caused by too-rapid infusion of the dialysate.
84. 2. Fluid return with peritoneal dialysis is accomplished by gravity flow. Actions that enhance
gravity flow include turning the client from side to side, raising the head of the bed, and gently
massaging the abdomen. The client is usually confined to a recumbent position during the
dialysis. The nurse should not attempt to reposition the catheter. - answer✔✔84.During dialysis,
Renal nclex review 11 and 12 Exam
Questions With Correct Answers.
79. 3. The nurse must always palpate for a thrill and auscultate for a bruit in the arm with the
fistula and promptly report the absence of either/or a thrill or bruit to the health care provider as
it indicates an occlusion. No procedures such as IV access, blood pressure measurements, or
blood draws are done on an arm with a fistula as they could damage the fistula. - answer✔✔79.A
client with chronic renal failure is receiving hemodialysis three times a week. In order to protect
the fistula the nurse should:
1.Take the blood pressure in the arm with the fistula.
2.Report the loss of a thrill or bruit on the arm with the fistula.
3.Auscultate for a thrill and palpate for a bruit on the arm with the fistula.
4.Start a second IV in the arm with the fistula.
80. 2, 4, 5. To manage nausea, the nurse can advise the client to drink limited amounts of fluid
only when thirsty, eat food before drinking fluids to alleviate dry mouth, encourage strict follow-
up for blood work, dialysis, and health care provider visits. Smaller, more frequent meals may
help to reduce nausea and facilitate medication taking. The client should be as active as possible
to avoid immobilization because it increases bone demineralization. The client should also
maintain the dialysis schedule because the dialysis will remove wastes that can contribute to
nausea. - answer✔✔80.A client with chronic renal failure who receives hemodialysis three times
a week is experiencing severe nausea. What should the nurse advise the client to do to manage
the nausea? Select all that apply.
1.Drink fluids before eating solid foods.
2.Have limited amounts of fluids only when thirsty.
3.Limit activity.
4.Keep all dialysis appointments.
5.Eat smaller, more frequent meals.
81. 1. The main reason for warming the peritoneal dialysis solution is that the warm solution
helps dilate peritoneal vessels, which increases urea clearance. Warmed dialyzing solution also
contributes to client comfort by preventing chilly sensations, but this is a secondary reason for
warming the solution. The warmed solution does not force potassium into the cells or promote
, EXAM STUDY MATERIALS 8/7/2024 11:29 AM
abdominal muscle relaxation. - answer✔✔81.The dialysis solution is warmed before use in
peritoneal dialysis primarily to:
1.Encourage the removal of serum urea.
2.Force potassium back into the cells.
3.Add extra warmth to the body.
4.Promote abdominal muscle relaxation.
82. 2. During dwell time, the dialysis solution is allowed to remain in the peritoneal cavity for
the time prescribed by the physician (usually 20 to 45 minutes). During this time, the nurse
should monitor the client's respiratory status because the pressure of the dialysis solution on the
diaphragm can create respiratory distress. The dialysis solution would not cause urticaria or
affect circulation to the fingers. The client's laboratory values are obtained before beginning
treatment and are monitored every 4 to 8 hours during the treatment, not just during the dwell
time. - answer✔✔82.Which of the following assessments would be most appropriate for the
nurse to make while the dialysis solution is dwelling within the client's abdomen?
1.Assess for urticaria.
2.Observe respiratory status.
3.Check capillary refill time.
4.Monitor electrolyte status.
83. 2. Because the client has a permanent catheter in place, blood-tinged drainage should not
occur. Persistent blood-tinged drainage could indicate damage to the abdominal vessels, and the
physician should be notified. The bleeding is originating in the peritoneal cavity, not the kidneys.
Too-rapid infusion of the dialysate can cause pain, not blood-tinged drainage. -
answer✔✔83.During the client's dialysis, the nurse observes that the solution draining from the
abdomen is consistently blood-tinged. The client has a permanent peritoneal catheter in place.
The nurse should interpret that the bleeding:
1.Is expected with a permanent peritoneal catheter.
2.Indicates abdominal blood vessel damage.
3.Can indicate kidney damage.
4.Is caused by too-rapid infusion of the dialysate.
84. 2. Fluid return with peritoneal dialysis is accomplished by gravity flow. Actions that enhance
gravity flow include turning the client from side to side, raising the head of the bed, and gently
massaging the abdomen. The client is usually confined to a recumbent position during the
dialysis. The nurse should not attempt to reposition the catheter. - answer✔✔84.During dialysis,
