Lewis Med Surg Ch 46 Acute Kidney Injury and CKD Actual
Questions and Correct Answers
Q1
The patient's complaints suggest the development of distal ischemia (steal syndrome) and may
require revision of the AVG. Elevation of the arm above the heart will further decrease
perfusion. Pain and coolness are not normal after AVG insertion. Aspirin therapy is not used to
maintain grafts. DIF: Cognitive Level: Apply (application) REF: 1088 TOP: Nursing Process:
Implementation MSC: NCLEX: Physiological Integrity
Answer: to maintain grafts.
Q2
When a patient with acute kidney injury (AKI) has an arterial blood pH of 7.30, the nurse will
expect an assessment finding of persistent skin tenting rapid, deep respirations. hot, flushed
face and neck. bounding peripheral pulses.
Answer: B
Q3
"I will measure my urinary output each day to help calculate the amount I can drink." "I need to
take erythropoietin to boost my immune system and help prevent infection."
Answer: C
Q4
Which information will the nurse monitor in order to determine the effectiveness of prescribed
calcium carbonate (Caltrate) for a patient with chronic kidney disease (CKD)? Blood pressure
Phosphate level Neurologic status Creatinine clearance
Answer: B
Q5
Sodium polystyrene sulfonate (Kayexalate) is ordered for a patient with hyperkalemia. Before
administering the medication, the nurse should assess the bowel sounds. blood glucose. blood
urea nitrogen (BUN). level of consciousness (LOC).
Answer: A
, Q6
A fistula is much less likely to clot. A fistula increases patient mobility.
Answer: A fistula is much less likely to clot. A fistula increases patient mobility.
Q7
A fistula can accommodate larger needles. A fistula can be used sooner after surgery.
Answer: A
Q8
Unlimited fluids are allowed because retained fluid is removed during dialysis.
Answer: B
Q9
The patient slows the inflow rate when experiencing abdominal pain.
Answer: C
Q10
The patient is infected with human immunodeficiency virus.
Answer: B
Q11
Disseminated malignancies are a contraindication to transplantation. The conditions of the
other patients are not contraindications for kidney transplant. DIF: Cognitive Level: Understand
(comprehension) REF: 1092 TOP: Nursing Process: Assessment MSC: NCLEX: Physiological
Integrity
Answer: DIF: Cognitive Level: Understand (comprehension) REF: 1092
Q12
Skin is thin and fragile. Blood pressure is 150/92. A nontender axillary lump.
Answer: Skin is thin and fragile. Blood pressure is 150/92. A nontender axillary lump.
Questions and Correct Answers
Q1
The patient's complaints suggest the development of distal ischemia (steal syndrome) and may
require revision of the AVG. Elevation of the arm above the heart will further decrease
perfusion. Pain and coolness are not normal after AVG insertion. Aspirin therapy is not used to
maintain grafts. DIF: Cognitive Level: Apply (application) REF: 1088 TOP: Nursing Process:
Implementation MSC: NCLEX: Physiological Integrity
Answer: to maintain grafts.
Q2
When a patient with acute kidney injury (AKI) has an arterial blood pH of 7.30, the nurse will
expect an assessment finding of persistent skin tenting rapid, deep respirations. hot, flushed
face and neck. bounding peripheral pulses.
Answer: B
Q3
"I will measure my urinary output each day to help calculate the amount I can drink." "I need to
take erythropoietin to boost my immune system and help prevent infection."
Answer: C
Q4
Which information will the nurse monitor in order to determine the effectiveness of prescribed
calcium carbonate (Caltrate) for a patient with chronic kidney disease (CKD)? Blood pressure
Phosphate level Neurologic status Creatinine clearance
Answer: B
Q5
Sodium polystyrene sulfonate (Kayexalate) is ordered for a patient with hyperkalemia. Before
administering the medication, the nurse should assess the bowel sounds. blood glucose. blood
urea nitrogen (BUN). level of consciousness (LOC).
Answer: A
, Q6
A fistula is much less likely to clot. A fistula increases patient mobility.
Answer: A fistula is much less likely to clot. A fistula increases patient mobility.
Q7
A fistula can accommodate larger needles. A fistula can be used sooner after surgery.
Answer: A
Q8
Unlimited fluids are allowed because retained fluid is removed during dialysis.
Answer: B
Q9
The patient slows the inflow rate when experiencing abdominal pain.
Answer: C
Q10
The patient is infected with human immunodeficiency virus.
Answer: B
Q11
Disseminated malignancies are a contraindication to transplantation. The conditions of the
other patients are not contraindications for kidney transplant. DIF: Cognitive Level: Understand
(comprehension) REF: 1092 TOP: Nursing Process: Assessment MSC: NCLEX: Physiological
Integrity
Answer: DIF: Cognitive Level: Understand (comprehension) REF: 1092
Q12
Skin is thin and fragile. Blood pressure is 150/92. A nontender axillary lump.
Answer: Skin is thin and fragile. Blood pressure is 150/92. A nontender axillary lump.
