Exam 43: Nursing Management: Acute Kidney Injury and Chronic Kidney Disease

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Which information will be included when the nurse is teaching self-management to a patient who is receiving peritoneal dialysis (select all that apply)?

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A,C,D

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

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C

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

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D

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

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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?

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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?

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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?

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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?

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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?

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

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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?

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

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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?

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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?

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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)?

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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?

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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?

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

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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?

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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?

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