Health and healing IV test 2 study set Questions With
Complete Solutions
The nurse is caring for a patient 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
of the fistula?
a. Is much less likely to clot.
b. Increases patient mobility.
c. Accommodates larger needles.
d. Can be used sooner after surgery.
a. Is much less likely to clot.
The nurse is caring for a patient with a left arm arteriovenous
fistula. Which of the following actions should the nurse include
in the plan of care to maintain the patency of the fistula?
a. Check the fistula site for a bruit and thrill.
b. Assess the rate and quality of the left radial pulse.
c. Compare blood pressures in the left and right arms.
d. Irrigate the fistula site with saline every 8-12 hours.
a. Check the fistula site for a bruit and thrill.
The nurse is caring for a patient who has had progressive
chronic kidney disease (CKD) for several years and is starting
hemodialysis. Which of the following information about diet
should the nurse include in patient teaching?
a. Increased calories are needed because glucose is lost during
,hemodialysis.
b. Unlimited fluids are allowed since retained fluid is removed
during dialysis.
c. More protein will be allowed because of the removal of urea
and creatinine by dialysis.
d. Dietary sodium and potassium are unrestricted because these
levels are normalized by dialysis.
c. More protein will be allowed because of the removal of urea
and creatinine by dialysis.
Which of the following actions by a patient who is using
peritoneal dialysis (PD) indicates that the nurse should provide
more teaching about PD?
a. The patient slows the inflow rate when experiencing pain.
b. The patient leaves the catheter exit site without a dressing.
c. The patient plans 30-60 minutes for a dialysate exchange.
d. The patient cleans the catheter while taking a bath every day.
d. The patient cleans the catheter while taking a bath every day.
The nurse is taking a history for a patient who is a possible
candidate for a kidney transplant. Which of the following
information indicates that the patient is not an appropriate
candidate for transplantation?
a. The patient has metastatic lung cancer.
b. The patient has poorly controlled type 1 diabetes.
c. The patient has a history of persistent hepatitis C infection.
d. The patient is infected with the human immunodeficiency
virus.
a. The patient has metastatic lung cancer.
,The nurse is caring for a patient who had kidney transplantation
several years ago. Which of the following findings may indicate
that the patient is experiencing adverse effects to the prescribed
corticosteroid?
a. Joint pain
b. Tachycardia
c. Postural hypotension
d. Increase in creatinine level
a. Joint pain
The nurse is assessing a patient 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?
a. The blood glucose is 7.9 mmol/L.
b. The patient's blood pressure is 150/92.
c. There is a nontender lump in the axilla.
d. The patient has a round, moonlike face.
c. There is a nontender lump in the axilla.
The nurse is interviewing a patient with chronic kidney disease
(CKD) who brings all home medications to the clinic to be
reviewed by the nurse. Which of the following medications
being used by the patient indicates that patient teaching is
required?
a. Multivitamin with iron
b. Milk of magnesia 30 mL
c. Calcium acetate
d. Acetaminophen 650 mg
, b. Milk of magnesia 30 mL
The nurse is caring for a patient with hypertension and stage 2
chronic kidney disease (CKD) who is prescribed ramapril.
Which of the following laboratory tests should the nurse assess
before administration of the medication?
a. Glucose
b. Potassium
c. Creatinine
d. Phosphate
b. Potassium
The nurse is caring for a patient with diabetes who has been
admitted with pneumonia and is prescribed gentamicin 60 mg
IV. Which of the following parameters should the nurse monitor
to evaluate the patient for adverse effects of the medication?
a. Urine osmolality
b. Serum potassium
c. Blood glucose level
d. Blood urea nitrogen (BUN) and creatinine
d. Blood urea nitrogen (BUN) and creatinine
The nurse is caring for a patient 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)?
a. Creatinine 99 mcmol/L
b. Oxygen saturation 89%
c. Hemoglobin level 130 g/L
d. Blood pressure 98/56 mm Hg
Complete Solutions
The nurse is caring for a patient 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
of the fistula?
a. Is much less likely to clot.
b. Increases patient mobility.
c. Accommodates larger needles.
d. Can be used sooner after surgery.
a. Is much less likely to clot.
The nurse is caring for a patient with a left arm arteriovenous
fistula. Which of the following actions should the nurse include
in the plan of care to maintain the patency of the fistula?
a. Check the fistula site for a bruit and thrill.
b. Assess the rate and quality of the left radial pulse.
c. Compare blood pressures in the left and right arms.
d. Irrigate the fistula site with saline every 8-12 hours.
a. Check the fistula site for a bruit and thrill.
The nurse is caring for a patient who has had progressive
chronic kidney disease (CKD) for several years and is starting
hemodialysis. Which of the following information about diet
should the nurse include in patient teaching?
a. Increased calories are needed because glucose is lost during
,hemodialysis.
b. Unlimited fluids are allowed since retained fluid is removed
during dialysis.
c. More protein will be allowed because of the removal of urea
and creatinine by dialysis.
d. Dietary sodium and potassium are unrestricted because these
levels are normalized by dialysis.
c. More protein will be allowed because of the removal of urea
and creatinine by dialysis.
Which of the following actions by a patient who is using
peritoneal dialysis (PD) indicates that the nurse should provide
more teaching about PD?
a. The patient slows the inflow rate when experiencing pain.
b. The patient leaves the catheter exit site without a dressing.
c. The patient plans 30-60 minutes for a dialysate exchange.
d. The patient cleans the catheter while taking a bath every day.
d. The patient cleans the catheter while taking a bath every day.
The nurse is taking a history for a patient who is a possible
candidate for a kidney transplant. Which of the following
information indicates that the patient is not an appropriate
candidate for transplantation?
a. The patient has metastatic lung cancer.
b. The patient has poorly controlled type 1 diabetes.
c. The patient has a history of persistent hepatitis C infection.
d. The patient is infected with the human immunodeficiency
virus.
a. The patient has metastatic lung cancer.
,The nurse is caring for a patient who had kidney transplantation
several years ago. Which of the following findings may indicate
that the patient is experiencing adverse effects to the prescribed
corticosteroid?
a. Joint pain
b. Tachycardia
c. Postural hypotension
d. Increase in creatinine level
a. Joint pain
The nurse is assessing a patient 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?
a. The blood glucose is 7.9 mmol/L.
b. The patient's blood pressure is 150/92.
c. There is a nontender lump in the axilla.
d. The patient has a round, moonlike face.
c. There is a nontender lump in the axilla.
The nurse is interviewing a patient with chronic kidney disease
(CKD) who brings all home medications to the clinic to be
reviewed by the nurse. Which of the following medications
being used by the patient indicates that patient teaching is
required?
a. Multivitamin with iron
b. Milk of magnesia 30 mL
c. Calcium acetate
d. Acetaminophen 650 mg
, b. Milk of magnesia 30 mL
The nurse is caring for a patient with hypertension and stage 2
chronic kidney disease (CKD) who is prescribed ramapril.
Which of the following laboratory tests should the nurse assess
before administration of the medication?
a. Glucose
b. Potassium
c. Creatinine
d. Phosphate
b. Potassium
The nurse is caring for a patient with diabetes who has been
admitted with pneumonia and is prescribed gentamicin 60 mg
IV. Which of the following parameters should the nurse monitor
to evaluate the patient for adverse effects of the medication?
a. Urine osmolality
b. Serum potassium
c. Blood glucose level
d. Blood urea nitrogen (BUN) and creatinine
d. Blood urea nitrogen (BUN) and creatinine
The nurse is caring for a patient 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)?
a. Creatinine 99 mcmol/L
b. Oxygen saturation 89%
c. Hemoglobin level 130 g/L
d. Blood pressure 98/56 mm Hg
