Exam 47: Nursing Management: Acute Kidney Injury and Chronic Kidney Disease

Which statement by a 62-year-old patient with stage 5 chronic kidney disease (CKD)indicates that the nurse's teaching about management of CKD has been effective?

The nurse is titrating the IV fluid infusion rate immediately after a patient has had kidney transplantation.Which parameter will be most important for the nurse to consider?

Before administration of captopril (Capoten)to a patient with stage 2 chronic kidney disease (CKD),the nurse will check the patient's

A patient complains of leg cramps during hemodialysis.The nurse should first

A 25-year-old male patient has been admitted with a severe crushing injury after an industrial accident.Which laboratory result will be most important to report to the health care provider?

A licensed practical/vocational nurse (LPN/LVN) is caring for a patient with stage 2 chronic kidney disease.Which observation by the RN requires an intervention?

A 37-year-old female patient is hospitalized with acute kidney injury (AKI).Which information will be most useful to the nurse in evaluating improvement in kidney function?

Which assessment finding may indicate that a patient is experiencing adverse effects to a corticosteroid prescribed after kidney transplantation?

A female patient with chronic kidney disease (CKD)is receiving peritoneal dialysis with 2 L inflows.Which information should the nurse report immediately to the health care provider?

A 38-year-old patient who had a kidney transplant 8 years ago is receiving the immunosuppressants tacrolimus (Prograf),cyclosporine (Sandimmune),and prednisone (Deltasone).Which assessment data will be of most concern to the nurse?

A patient with acute kidney injury (AKI)has longer QRS intervals on the electrocardiogram (ECG)than were noted on the previous shift.Which action should the nurse take first?

A 48-year-old patient with stage 2 chronic kidney disease (CKD)is scheduled for an intravenous pyelogram (IVP).Which order for the patient will the nurse question?

The nurse in the dialysis clinic is reviewing the home medications of a patient with chronic kidney disease (CKD).Which medication reported by the patient indicates that patient teaching is required?

When a patient with acute kidney injury (AKI)has an arterial blood pH of 7.30,the nurse will expect an assessment finding of

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)?

A 42-year-old patient admitted with acute kidney injury due to dehydration has oliguria,anemia,and hyperkalemia.Which prescribed actions should the nurse take first?

Which intervention will be included in the plan of care for a male patient with acute kidney injury (AKI)who has a temporary vascular access catheter in the left femoral vein?

A patient who has acute glomerulonephritis is hospitalized with hyperkalemia.Which information will the nurse monitor to evaluate the effectiveness of the prescribed calcium gluconate IV?

Before administration of calcium carbonate (Caltrate)to a patient with chronic kidney disease (CKD),the nurse should check laboratory results for

Which information in a patient's history indicates to the nurse that the patient is not an appropriate candidate for kidney transplantation?