Med-surg; Renal (61, 62 & 63) Questions Ch 61 (1-26) Ch 62
(27 - 42) Ch 63 (43 - 69) With Complete Solutions
The nurse is assessing a client with a diagnosis of prerenal acute
kidney injury (AKI). Which condition would the nurse expect to
find in the patient's recent history?
A: Pyelonephritis
B: Dehydration
C: Bladder cancer
D: Kidney stones
B: Dehydration
A marathon runner comes into the clinic and states "I have not
urinated very much in the last few days". The nurse notes a heart
rate of 110 beats/min and a blood pressure of 86/58 mm Hg.
Which action by the nurse is most appropriate?
A: Give the client a bottle of water immediately
B: Start an intravenous line for fluids
C: Teach the patient to drink 2 to 3 L of water daily
D: Perform an electrocardiogram
A: Give the client a bottle of water immediately
A client comes into the emergency department with a serum
creatinine of 2.2 mg/dL (1944 mcmol/L) and a blood urea
nitrogen (BUN) of 24 mL/dL (8.57 mmol/L). What question
would the nurse ask first when taking this client's history?
,A: Have you been taking any aspirin, ibuprofen or naproxen
recently?
B: Do you have anyone in your family with renal failure?
C: Have you had a diet that is low in protein recently?
D: Has a relative had a kidney transplant recently?
A: Have you been taking any aspirin, ibuprofen or naproxen
recently?
NSAIDs, bad for kidneys
A client is admitted with acute kidney injury (AKI) and a urine
output of 2000 mL/day. What is the major concern of the nurse
regarding this patient's care?
A: Edema and pain
B: Cardiac and respiratory status
C: Electrolyte and fluid imbalance
D: Mental health status
C: Electrolyte and fluid imbalance
A client with acute kidney injury (AKI) has a blood pressure of
76/55 mm Hg. The primary health care provider prescribed 1000
ML of normal saline to be infused over 1 hour to maintain
perfusion. The client starts to develop shortness of breath. What
is the nurses priority action?
A: Calculate the mean arterial pressure (MAP)
B: Ask for insertion of a pulmonary artery catheter
, C: Take the client's pulse
D: Decrease the rate of the IV infusion
D: Decrease the rate of the IV infusion
A client has a serum potassium level of 6.5 mEq/L (6.5
mmol/L), a serum creatinine level of 2 mg/dL (176 mcmol/L),
and a urine output of 350 mL/day. What is the best action by the
nurse?
A: Place the client on a cardiac monitor immediately
B: Teach the client to limit high-potassium foods
C: Continue to monitor the client's intake and output
D: Ask the laboratory to redraw the blood specimen
A: Place the client on a cardiac monitor immediately
high potassium = dysrhythmia
A client with diabetes mellitus type 2 has been well controlled
with metformin. The client is scheduled for magnetic resonance
imaging (MRI) scan with contrast. What priority would the
nurse take at this time?
A: Teach the client about purpose of MRI
B: Assess the client's blood urea nitrogen and creatinine
C: Tell the client to withhold metformin for 24 hrs before the
MRI
D: Ask the client if he or she is taking antibiotics
(27 - 42) Ch 63 (43 - 69) With Complete Solutions
The nurse is assessing a client with a diagnosis of prerenal acute
kidney injury (AKI). Which condition would the nurse expect to
find in the patient's recent history?
A: Pyelonephritis
B: Dehydration
C: Bladder cancer
D: Kidney stones
B: Dehydration
A marathon runner comes into the clinic and states "I have not
urinated very much in the last few days". The nurse notes a heart
rate of 110 beats/min and a blood pressure of 86/58 mm Hg.
Which action by the nurse is most appropriate?
A: Give the client a bottle of water immediately
B: Start an intravenous line for fluids
C: Teach the patient to drink 2 to 3 L of water daily
D: Perform an electrocardiogram
A: Give the client a bottle of water immediately
A client comes into the emergency department with a serum
creatinine of 2.2 mg/dL (1944 mcmol/L) and a blood urea
nitrogen (BUN) of 24 mL/dL (8.57 mmol/L). What question
would the nurse ask first when taking this client's history?
,A: Have you been taking any aspirin, ibuprofen or naproxen
recently?
B: Do you have anyone in your family with renal failure?
C: Have you had a diet that is low in protein recently?
D: Has a relative had a kidney transplant recently?
A: Have you been taking any aspirin, ibuprofen or naproxen
recently?
NSAIDs, bad for kidneys
A client is admitted with acute kidney injury (AKI) and a urine
output of 2000 mL/day. What is the major concern of the nurse
regarding this patient's care?
A: Edema and pain
B: Cardiac and respiratory status
C: Electrolyte and fluid imbalance
D: Mental health status
C: Electrolyte and fluid imbalance
A client with acute kidney injury (AKI) has a blood pressure of
76/55 mm Hg. The primary health care provider prescribed 1000
ML of normal saline to be infused over 1 hour to maintain
perfusion. The client starts to develop shortness of breath. What
is the nurses priority action?
A: Calculate the mean arterial pressure (MAP)
B: Ask for insertion of a pulmonary artery catheter
, C: Take the client's pulse
D: Decrease the rate of the IV infusion
D: Decrease the rate of the IV infusion
A client has a serum potassium level of 6.5 mEq/L (6.5
mmol/L), a serum creatinine level of 2 mg/dL (176 mcmol/L),
and a urine output of 350 mL/day. What is the best action by the
nurse?
A: Place the client on a cardiac monitor immediately
B: Teach the client to limit high-potassium foods
C: Continue to monitor the client's intake and output
D: Ask the laboratory to redraw the blood specimen
A: Place the client on a cardiac monitor immediately
high potassium = dysrhythmia
A client with diabetes mellitus type 2 has been well controlled
with metformin. The client is scheduled for magnetic resonance
imaging (MRI) scan with contrast. What priority would the
nurse take at this time?
A: Teach the client about purpose of MRI
B: Assess the client's blood urea nitrogen and creatinine
C: Tell the client to withhold metformin for 24 hrs before the
MRI
D: Ask the client if he or she is taking antibiotics
