Exam 68: Care of Patients with Acute Kidney Injury and Chronic Kidney Disease

The nurse is assessing a client with a diagnosis of pre-renal acute kidney injury (AKI).Which condition would the nurse expect to find in the client's recent history?

A client has a long history of hypertension.Which category of medications would the nurse expect to be ordered to avoid chronic kidney disease (CKD)?

A marathon runner comes into the clinic and states "I have not urinated very much in the last few days." The nurse notes a heart rate of 110 beats/min and a blood pressure of 86/58 mm Hg.Which action by the nurse is the priority?

The nurse is teaching a client with diabetes mellitus how to prevent or delay chronic kidney disease (CKD).Which client statements indicate a lack of understanding of the teaching? (Select all that apply.)

A male client comes into the emergency department with a serum creatinine of 2.2 mg/dL and a blood urea nitrogen (BUN)of 24 mL/dL.What question should the nurse ask first when taking this client's history?

The nurse is taking the vital signs of a client after hemodialysis.Blood pressure is 110/58 mm Hg,pulse 66 beats/min,and temperature is 99.8° F (37.6° C).What is the most appropriate action by the nurse?

A client is unsure of the decision to undergo peritoneal dialysis (PD)and wishes to discuss the advantages of this treatment with the nurse.Which statements by the nurse are accurate regarding PD? (Select all that apply.)

The nurse is teaching the main principles of hemodialysis to a client with chronic kidney disease.Which statement by the client indicates a need for further teaching by the nurse?

A client with acute kidney injury has a blood pressure of 76/55 mm Hg.The health care provider ordered 1000 mL of normal saline to be infused over 1 hour to maintain perfusion.The client is starting to develop shortness of breath.What is the nurse's priority action?

The nurse is caring for five clients on the medical-surgical unit.Which clients would the nurse consider to be at risk for post-renal acute kidney injury (AKI)? (Select all that apply.)

A nurse is caring for a client who is scheduled for a dose of cefazolin and vitamins at this time.Hemodialysis for this client is also scheduled in 60 minutes.Which action by the nurse is best?

A 70-kg adult with chronic renal failure is on a 40-g protein diet.The client has a reduced glomerular filtration rate and is not undergoing dialysis.Which result would give the nurse the most concern?

A client with chronic kidney disease states,"I feel chained to the hemodialysis machine." What is the nurse's best response to the client's statement?

A nurse reviews these laboratory values of a client who returned from kidney transplantation 12 hours ago: What initial intervention would the nurse anticipate?

A client has just had a central line catheter placed that is specific for hemodialysis.What is the most appropriate action by the nurse?

A client is taking furosemide (Lasix)40 mg/day for management of chronic kidney disease (CKD).To detect the positive effect of the medication,what action of the nurse is best?

The nurse is caring for four clients with chronic kidney disease.Which client should the nurse assess first upon initial rounding?

A client is hospitalized in the oliguric phase of acute kidney injury (AKI)and is receiving tube feedings.The nurse is teaching the client's spouse about the kidney-specific formulation for the enteral solution compared to standard formulas.What components should be discussed in the teaching plan? (Select all that apply.)

The charge nurse of the medical-surgical unit is making staff assignments.Which staff member should be assigned to a client with chronic kidney disease who is exhibiting a low-grade fever and a pericardial friction rub?

A client is diagnosed with chronic kidney disease (CKD).What is an ideal goal of treatment set by the nurse in the care plan to reduce the risk of pulmonary edema?