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

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 licensed practical/vocational nurse (LPN/LVN) is caring for a patient with stage 2 chronic kidney disease.Which observation by the RN requires an intervention?

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

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

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?

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?

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 statement by a 62-year-old patient with stage 5 chronic kidney disease (CKD)indicates that the nurse's teaching about management of CKD has been effective?

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

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

When a patient with acute kidney injury (AKI)has an arterial blood pH of 7.30,the nurse will expect an assessment finding of

Before administration of captopril (Capoten)to a patient with stage 2 chronic kidney disease (CKD),the nurse will check the patient's

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

Which intervention will be included in the plan of care for a male patient with acute kidney injury (AKI)who has a temporary vascular access catheter in the left femoral vein?

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

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?