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

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 patient information will the nurse plan to obtain in order to determine the effectiveness of the prescribed calcium carbonate ( Caltrate ) for a patient with chronic kidney disease ( CKD )?

When the nurse is taking a history for a patient who is a possible candidate for a kidney transplant, which information about the patient indicates that the patient is not an appropriate candidate for transplantation?

The nurse has instructed a patient who is receiving hemodialysis about appropriate dietary choices. Which menu choice by the patient indicates that the teaching has been successful?

A patient with acute kidney injury (AKI) has an arterial blood pH of 7.30. The nurse will assess the patient for

A patient with hypertension and stage 2 chronic kidney disease ( CKD ) is receiving captopril ( Capoten ). Before administration of the medication, the nurse will check the patient's

A patient with chronic kidney disease ( CKD ) brings all home medications to the clinic to be reviewed by the nurse. Which medication being used by the patient indicates that patient teaching is required?

Which of the following information obtained by the nurse who is caring for a patient with end-stage renal disease ( ESRD ) indicates the nurse should consult with the health care provider before giving the prescribed epoetin alfa ( Procrit )?

A patient needing vascular access for hemodialysis asks the nurse what the differences are between an arteriovenous (AV) fistula and a graft. The nurse explains that one advantage of the fistula is that it

Which data obtained when assessing a patient who had a kidney transplant 8 years ago and who is receiving the immunosuppressants tacrolimus (Prograf), cyclosporine (Sandimmune), and prednisone (Deltasone) will be of most concern to the nurse?

The RN observes an LPN/LVN carrying out all of the following actions while caring for a patient with stage 2 chronic kidney disease. Which action requires the RN to intervene?

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?

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

Which information about a patient who was admitted 10 days previously with acute kidney injury (AKI) caused by dehydration will be most important for the nurse to report to the health care provider?

The nurse is assessing a patient who is receiving peritoneal dialysis with 2 L inflows. Which information should be reported immediately to the health care provider?

A new order for IV gentamicin (Garamycin) 60 mg BID is received for a patient with diabetes who has pneumonia. When evaluating for adverse effects of the medication, the nurse will plan to monitor the patient's

A patient in the oliguric phase of acute renal failure has a 24-hour fluid output of 150 mL emesis and 250 mL urine. The nurse plans a fluid replacement for the following day of ___ mL.

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

When a patient who has had progressive chronic kidney disease ( CKD ) for several years is started on hemodialysis, which information about diet will the nurse include in patient teaching?

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