Exam 46: Acute Kidney Injury and Chronic Kidney Disease

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

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

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

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

A 55-yr-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?

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?

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

A 62-yr-old female patient has been hospitalized for 4 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?

During routine hemodialysis,a patient complains of nausea and dizziness. Which action should the nurse take first?

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

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

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

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

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

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 patient complains of leg cramps during hemodialysis. The nurse should

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

A 37-yr-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?

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?