Exam 49: Nursing Management Acute Kidney Injury and Chronic Kidney Disease

The nurse is assessing a client who had a kidney transplant 8 years ago and is receiving the immunosuppressants tacrolimus, cyclosporin, and prednisone. Which of the following findings is of most concern to the nurse?

The nurse is caring for a client who was admitted 10 days previously with acute kidney injury (AKI) caused by dehydration. Which of the following findings is most important for the nurse to report to the health care provider?

Which of the following assessments should the nurse complete before administering sodium polystyrene sulphonate to a client with hyperkalemia?

Which of the following parameters is most important for the nurse to consider when titrating the IV fluid infusion rate immediately after a client has had kidney transplantation?

The nurse is preparing to administer calcium carbonate to a client with chronic kidney disease (CKD). Which of the following laboratory results should the nurse check prior to administration?

The nurse is caring for a client who requires vascular access for hemodialysis and asks the nurse what the differences are between an arteriovenous (AV) fistula and a graft. Which of the following information should the nurse explain is an advantage ofthefistula?

The nurse is caring for a client receiving hemodialysis who has symptoms of nausea and dizziness. Which of the following actions should the nurse take first?

The nurse is caring for a client with acute kidney injury (AKI) who has an arterial blood pH of 7.30. Which of the following assessment findings should the nurse anticipate?

The nurse is caring for a client who has had an insertion of an arteriovenous graft (AVG) in the right forearm and has symptoms of pain and coldness of the right fingers. Which of the following actions should the nurse take?

The nurse is caring for a client who has leg cramps during hemodialysis. Which of the following actions should the nurse implement first?

The nurse is caring for a client who has been admitted with a severe crushing injury after an industrial accident. Which of the following laboratory results is most important to report to the health care provider?

Two hours after a kidney transplant, the nurse obtains all of the following data when assessing the client. Which information is most important to communicate to the health care provider?

The nurse is caring for a client who had kidney transplantation several years ago. Which of the following findings may indicate that the client is experiencing adverse effects to the prescribed corticosteroid?

The nurse is teaching a client with stage 5 chronic kidney disease (CKD) about management of CKD. Which of the following client statements indicate that the teaching was effective?

The nurse is caring for a client with acute kidney injury (AKI) who requires hemodialysis and a temporary vascular access is obtained by placing a catheter in the left femoral vein. Which of the following interventions should be included in the plan ofcare?

The nurse is caring for a client with acute kidney injury who is dehydrated with symptoms of oliguria, anemia, and hyperkalemia. Which of the following prescribed actions should the nurse take first?

After noting lengthening QRS intervals in a client with acute kidney injury (AKI), which of the following actions should the nurse take first?

The nurse is caring for a client with acute glomerulonephritis, acute kidney injury (AKI), and hyperkalemia who is prescribed calcium gluconate IV. Which of the following parameters should the nurse assess to evaluate the effectiveness of the medication?

The nurse is caring for a client with severe heart failure who develops elevated blood urea nitrogen (BUN) and creatinine levels. The nurse will plan care to meet which of the following goals of treatment?

The nurse is caring for a client with end-stage renal disease (ESRD). Which of the following findings indicate that the nurse should consult with the health care provider before giving the prescribed erythropoiesis-stimulating agent (ESA)?