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

A 72-year-old patient with a history of benign prostatic hyperplasia (BPH)is admitted with acute urinary retention and elevated blood urea nitrogen (BUN)and creatinine levels.Which prescribed therapy should the nurse implement first?

During routine hemodialysis,the 68-year-old patient complains of nausea and dizziness.Which action should the nurse take first?

Which action by a 70-year-old patient who is using peritoneal dialysis (PD)indicates that the nurse should provide more teaching about PD?

A 74-year-old who is progressing to stage 5 chronic kidney disease asks the nurse,"Do you think I should go on dialysis? Which initial response by the nurse is best?

The nurse is planning care for a patient with severe heart failure who has developed elevated blood urea nitrogen (BUN)and creatinine levels.The primary collaborative treatment goal in the plan will be

When caring for a patient with a left arm arteriovenous fistula,which action will the nurse include in the plan of care to maintain the patency of the fistula?

A 55-year-old patient with end-stage kidney disease (ESKD)is scheduled to receive a prescribed dose of epoetin alfa (Procrit).Which information should the nurse report to the health care provider before giving the medication?

The nurse is assessing a patient 4 hours after a kidney transplant.Which information is most important to communicate to the health care provider?

After receiving change-of-shift report,which patient should the nurse assess first?

After the insertion of an arteriovenous graft (AVG)in the right forearm,a 54-year-old patient complains of pain and coldness of the right fingers.Which action should the nurse take?

A 64-year-old male patient who has had progressive chronic kidney disease (CKD)for several years has just begun regular hemodialysis.Which information about diet will the nurse include in patient teaching?

A patient with diabetes who has bacterial pneumonia is being treated with IV gentamicin (Garamycin)60 mg IV BID.The nurse will monitor for adverse effects of the medication by evaluating the patient's

A patient has arrived for a scheduled hemodialysis session.Which nursing action is most appropriate for the registered nurse (RN)to delegate to a dialysis technician?

A 62-year-old female patient has been hospitalized for 8 days with acute kidney injury (AKI)caused by dehydration.Which information will be most important for the nurse to report to the health care provider?

Sodium polystyrene sulfonate (Kayexalate)is ordered for a patient with hyperkalemia.Before administering the medication,the nurse should assess the

A patient in the oliguric phase after an acute kidney injury has had a 250 mL urine output and an emesis of 100 mL in the past 24 hours.What is the patient's fluid restriction for the next 24 hours?

Which menu choice by the patient who is receiving hemodialysis indicates that the nurse's teaching has been successful?

A patient will need vascular access for hemodialysis.Which statement by the nurse accurately describes an advantage of a fistula over a graft?

Which information will be included when the nurse is teaching self-management to a patient who is receiving peritoneal dialysis ?