Test 1
1. The nurse has provided discharge instructions to a client who is
newly diagnosed with nephrotic syndrome. Which of the following
client statements indicates a correct understanding of the
teaching?
a. I must decrease my intake of foods high in potassium.
b. I should take all prescribed antibiotics until they are gone
c. I must protect myself from developing an infection.
d. I should avoid using any type of salt substitute on my food.
2. The nurse is reviewing the lab results of an assigned clients. It is
priority for the nurse to follow up with primary health care provider
if a client who.
a. Had a mitral (mechanical) valve replacement and taking
prescribed warfarin has an international normalized ratio (INR)
that is 3.2.
b. Is receiving prescribed enoxaparin postoperatively from cardiac
surgery and has a platelet count that is decreased from 200,000
to 175,000 over the past 2 days.
c. Had an abdominal aortic aneurysm (AAA) repair 2 days
ago has a creatinine level that has increased from 0.9 to
2.5.
d. Is receiving prescribed digoxin and has a blood urea nitrogen
level that has increased from 15 to 19 over the past 3 days.
3. The nurse is caring for a client who has been hospitalized for 8
days with acute kidney injury caused by dehydration. Which of the
following should the nurse report immediately to the primary health
care provider (PCHP)?
a. A rhythm strip reading that has tall, peaked T waves.
b. A creatinine level of 3 mg/dl
c. A blood urea nitrogen (BUN) level of 67 mg/dl
d. A decreased glomerular filtration rate
4. The nurse is caring for a client who is receiving gentamicin
intravenously for an infection and has development oliguria and
an increased blood pressure. Which of the following actions
should the nurse take first.
a. Insert a prescribed urethral urinary catheter.
b. Raise the head of the bed (HOB) to a 45 degree angle.
c. Collect a urine sample to check the specific gravity.
, d. Obtain a prescription for gentamicin peak and trough levels.
1. The nurse has provided discharge instructions to a client who is
newly diagnosed with nephrotic syndrome. Which of the following
client statements indicates a correct understanding of the
teaching?
a. I must decrease my intake of foods high in potassium.
b. I should take all prescribed antibiotics until they are gone
c. I must protect myself from developing an infection.
d. I should avoid using any type of salt substitute on my food.
2. The nurse is reviewing the lab results of an assigned clients. It is
priority for the nurse to follow up with primary health care provider
if a client who.
a. Had a mitral (mechanical) valve replacement and taking
prescribed warfarin has an international normalized ratio (INR)
that is 3.2.
b. Is receiving prescribed enoxaparin postoperatively from cardiac
surgery and has a platelet count that is decreased from 200,000
to 175,000 over the past 2 days.
c. Had an abdominal aortic aneurysm (AAA) repair 2 days
ago has a creatinine level that has increased from 0.9 to
2.5.
d. Is receiving prescribed digoxin and has a blood urea nitrogen
level that has increased from 15 to 19 over the past 3 days.
3. The nurse is caring for a client who has been hospitalized for 8
days with acute kidney injury caused by dehydration. Which of the
following should the nurse report immediately to the primary health
care provider (PCHP)?
a. A rhythm strip reading that has tall, peaked T waves.
b. A creatinine level of 3 mg/dl
c. A blood urea nitrogen (BUN) level of 67 mg/dl
d. A decreased glomerular filtration rate
4. The nurse is caring for a client who is receiving gentamicin
intravenously for an infection and has development oliguria and
an increased blood pressure. Which of the following actions
should the nurse take first.
a. Insert a prescribed urethral urinary catheter.
b. Raise the head of the bed (HOB) to a 45 degree angle.
c. Collect a urine sample to check the specific gravity.
, d. Obtain a prescription for gentamicin peak and trough levels.
