NSG 4100 Exam 1

Adult Health Exam 1
EQ1: The nurse is caring for a client who has end stage renal disease and has
developed uremia, Which of the items in the box below identity S/S of Uremia?
● Flank pain
fever
● Muscle cramps
-




chest pain rub
friction
-




● Bruising (ecchymosis)
● Hypotension
-

HTN -
pericardial
metallic taste , narsea
● Pruritus
-




● Metallic taste in the mouth
EQ2: The nurse is caring for a client who has end stage renal disease and has just
returned from receiving a hemodialysis treatment and REQUIRES
↑




IMMEDIATE INTERVENTION if the patient presents with:
● Pulse rate 130 (tachycardia) (normal) -

Pt complication
can


● Temp of 99.4 lead to
shock
● Potassium that has dropped from 6.1 to 5.1
● Hemoglobin level of 10.8
○ Normal Range of Hemoglobin
■ M: 14-18 ·
Pt Anemia
■ F: 12-16
EQ3: The nurse is caring for a client who has end stage renal disease and has
developed uremic pericarditis:
● Is treated with hemodialysis


EQ4: The nurse is caring for a client who has end stage renal disease, which of
the following should the nurse REPORT IMMEDIATELY:
● Poor appetite
● Orientation to person and place
● Flat neck veins
● Weak peripheral pulses
EQ5: The nurse is caring for a client who has end stage renal disease, potassium
is 6.1 which action does the nurse take first?
● Administration of furosemide
● Sodium sulfinate?
● Review the client’s current telemetry level (elevated T-wave -hyperkalemia)
● Notify the provider
EQ6: The nurse is talking with client who has end stage renal disease, which of
the following client statements would be PRIORITY FOLLOWUP?
● I have noticed that my skin has a bronze color to it
● I have noticed that my breathe has an unpleasant odor to it uremic fetre
uremia
sl of

, ●I try and limit my intake of dietary sodium to 2 g per day
●I will make sure I will consume at least 100g of protein per day

EQ7: The nurse is talking with client who has end stage renal disease, which of
the prescriptions should the nurse question? WHICH IS WRONG?
● ETA
● Calcium acetate
● Sodium bicarbonate
● Antacids (magnesium)
Can't Filtrate
EQ8: The nurse is caring for a client who has end stage renal disease, which of
the following client statements would indicate a CORRECT
UNDERSTANDING?
● I can expect to have an increase in my energy level after dialysis treatment
● If I develop any vision changes or headache, I should notify my provider
● Hemodialysis should be performed a minimum of 3 times per week in an
outpatient center
● I should AVOID certain proteins and dairy products such as eggs and milk
EQ9: The nurse working on a renal unit received a change of shift report, which
client should the nurse see first?
● The client that has low serum calcium
● Hemoglobin of 11 and is reporting feeling very drowsy (bleeding out)
● The client that has NEW DIAGNOSIS OF PKD a BUN OF 32 and
CREATININE OF 1.5
● Client is scheduled for hemodialysis treatment and BP of 160 and potassium
of 6.4
EQ10: The nurse caring for a client who is end stage renal which of the following
blood classes would be indicative of metabolic acidosis? . 35 - 745
7 O




● pH of 7.2 (acidosis) 35 45
-




Hoz 22
<
● PaCO2 of 36
EQ11: The nurse caring for a client who is end stage renal disease, which of the
following diet items should the nurse REMOVE FROM THE DIET? AVOID
POTASSIUM
● Mixed garden salad
● Carton of 2% milk KA
● Baked potato High in

● Grilled chicken breast


● Rate & Progression Renal Failure in ESKD is related to:
○ 1) The underlying disorder.
○ 2) Presence of Proteinuria.
○ 3) Presence of Hypertension.
EQ12: The nurse has attended a CE focused on clients with end stage renal
disease, which of the following statements are WRONG?
● CVVHD