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

A client is having a peritoneal dialysis treatment.The nurse notes an opaque color to the effluent.What is the priority action by the nurse?

A client is assessed by the nurse after a hemodialysis session.The nurse notes bleeding from the client's nose and around the intravenous catheter.What action by the nurse is the priority?

A client in the intensive care unit with acute kidney injury (AKI)must maintain a mean arterial pressure (MAP)of 65 mm Hg to promote kidney perfusion.What is the client's MAP if the blood pressure is 98/50 mm Hg? (Record your answer using a whole number.)_____ mm Hg

A client is placed on fluid restrictions because of chronic kidney disease (CKD).Which assessment finding would alert the nurse that the client's fluid balance is stable at this time?

A nurse is caring for a postoperative 70-kg client who had major blood loss during surgery.Which findings by the nurse should prompt immediate action to prevent acute kidney injury? (Select all that apply.)

The charge nurse is orienting a float nurse to an assigned client with an arteriovenous (AV)fistula for hemodialysis in her left arm.Which action by the float nurse would be considered unsafe?

The nurse is teaching a client how to increase the flow of dialysate into the peritoneal cavity during dialysis.Which statement by the client demonstrates a correct understanding of the teaching?

A client has a serum potassium level of 6.5 mmol/L,a serum creatinine level of 2 mg/dL,and a urine output of 350 mL/day.What is the best action by the nurse?

A nurse is giving discharge instructions to a client recently diagnosed with chronic kidney disease (CKD).Which statements made by the client indicate a correct understanding of the teaching? (Select all that apply.)

The nurse is teaching a client with chronic kidney disease (CKD)about the sodium restriction needed in the diet to prevent edema and hypertension.Which statement by the client indicates more teaching is needed?

A client is recovering from a kidney transplant.The client's urine output was 1500 mL over the last 12-hour period since transplantation.What is the priority assessment by the nurse?

A client in the intensive care unit is started on continuous venovenous hemofiltration (CVVH).Which finding is the cause of immediate action by the nurse?

A client with chronic kidney disease (CKD)is experiencing nausea,vomiting,visual changes,and anorexia.Which action by the nurse is best?

A client is undergoing hemodialysis.The client's blood pressure at the beginning of the procedure was 136/88 mm Hg,and now it is 110/54 mm Hg.What actions should the nurse perform to maintain blood pressure? (Select all that apply.)

A client is admitted with acute kidney injury (AKI)and a urine output of 2000 mL/day.What is the major concern of the nurse regarding this client's care?

A male client with chronic kidney disease (CKD)is refusing to take his medication and has missed two hemodialysis appointments.What is the best initial action for the nurse?