Crisis 2 Exam 3 Renal, GI, Neuro,
Biliary/liver
A nurse is teaching a client who has chronic kidney disease and is to begin
hemodialysis. What should be taught?
A. Hemodialysis restores kidney function
B. Hemodialysis replaces hormonal function of the renal system
C. Hemodialysis allows an unrestricted diet
D. Hemodialysis returns a balance to serum electrolytes
D
A nurse is planning postprocedure care for a client who received
hemodialysis. Which intervention is included?
A. Check blood pressure on the arm with AV access
B. Assess the access site for bleeding
C. Do not administer medication withheld prior to dialysis
D. Observe for signs of hypervolemia
B
A patient that develops disequilibrium syndrome after receiving hemodialysis.
Which action should be taken?
A. Administer an opioid
B. Assess level of consciousness
C. Monitor for hypertension
D. Increase the dialysis exchange rate
B
A nurse is planning care for a client who will undergo peritoneal dialysis.
Which action should the nurse take?
A. Report cloudy dialysis return
B. Use clean gloves when assessing the catheter insertion site
C. Warm the dialysate in the microwave
D. Discontinue glucose monitoring
,A
A nurse is planning care for a client with stage 4 chronic kidney disease.
Which is included in the plan of care?
A. Provide a high sodium diet
B. Assess for JVD
C. Take patient off telemetry
B
A client has a prerenal AKI. Urinary output is 50 mL in 2 hours and BP 92/58.
What intervention is ordered?
A. CT scan with contrast
B. Vasodilator medication
C. Fluid challenge
D. Position patient in Trendelenburg
C
A nurse is assessing a client who has end-stage kidney disease. Which
finding should the nurse expect?
A. Proteinuria
B. Urine output of 30mL per hour
C. Clear lung sounds
D. Increased calcium level
A
A client is taking cyclosporin post-op kidney transplant. Which instruction
should be included?
A. Decrease your intake of protein-rich foods
B. Monitor for and report sore throat to your HCP
C. Take this medication with grapefruit juice
D. Expect your skin to turn yellow
B
, The nurse is assessing the patency of a client's left arm arteriovenous fistula
prior to hemodialysis. Which finding suggests patency?
A. Palpation of a thrill over the fistula
B. Visualization of enlarged blood vessels at the fistula
C. Presence of a radial pulse in the left wrist
D. Capillary refill <3 seconds of the fingers on the left hand
A
True or false: Hemodialysis restores kidney function.
False
True or false: Hemodialysis removes excess serum electrolytes, fluids, and
waste.
True
A nurse is preparing to initiate hemodialysis for a client who has an AKI.
Which of the following actions should the nurse take? (Select all that apply)
A. Review the medications the client is currently taking
B. Assess the AV fistula for a bruit
C. Calculate the client's hourly urine output
D. Measure the client's weight
E. Check serum electrolytes
F. Use the access site are for venipunture
A, B, D, E
A- some medications will need to be held until after hemodialysis
B- A thrill and bruit indicate patency
C- Hourly urine output does not determine the need for dialysis
D- weight must be measured before and after dialysis due to risk of overload
E- Serum electrolytes determine the need for dialysis
F- Never do this or you could lose access
Biliary/liver
A nurse is teaching a client who has chronic kidney disease and is to begin
hemodialysis. What should be taught?
A. Hemodialysis restores kidney function
B. Hemodialysis replaces hormonal function of the renal system
C. Hemodialysis allows an unrestricted diet
D. Hemodialysis returns a balance to serum electrolytes
D
A nurse is planning postprocedure care for a client who received
hemodialysis. Which intervention is included?
A. Check blood pressure on the arm with AV access
B. Assess the access site for bleeding
C. Do not administer medication withheld prior to dialysis
D. Observe for signs of hypervolemia
B
A patient that develops disequilibrium syndrome after receiving hemodialysis.
Which action should be taken?
A. Administer an opioid
B. Assess level of consciousness
C. Monitor for hypertension
D. Increase the dialysis exchange rate
B
A nurse is planning care for a client who will undergo peritoneal dialysis.
Which action should the nurse take?
A. Report cloudy dialysis return
B. Use clean gloves when assessing the catheter insertion site
C. Warm the dialysate in the microwave
D. Discontinue glucose monitoring
,A
A nurse is planning care for a client with stage 4 chronic kidney disease.
Which is included in the plan of care?
A. Provide a high sodium diet
B. Assess for JVD
C. Take patient off telemetry
B
A client has a prerenal AKI. Urinary output is 50 mL in 2 hours and BP 92/58.
What intervention is ordered?
A. CT scan with contrast
B. Vasodilator medication
C. Fluid challenge
D. Position patient in Trendelenburg
C
A nurse is assessing a client who has end-stage kidney disease. Which
finding should the nurse expect?
A. Proteinuria
B. Urine output of 30mL per hour
C. Clear lung sounds
D. Increased calcium level
A
A client is taking cyclosporin post-op kidney transplant. Which instruction
should be included?
A. Decrease your intake of protein-rich foods
B. Monitor for and report sore throat to your HCP
C. Take this medication with grapefruit juice
D. Expect your skin to turn yellow
B
, The nurse is assessing the patency of a client's left arm arteriovenous fistula
prior to hemodialysis. Which finding suggests patency?
A. Palpation of a thrill over the fistula
B. Visualization of enlarged blood vessels at the fistula
C. Presence of a radial pulse in the left wrist
D. Capillary refill <3 seconds of the fingers on the left hand
A
True or false: Hemodialysis restores kidney function.
False
True or false: Hemodialysis removes excess serum electrolytes, fluids, and
waste.
True
A nurse is preparing to initiate hemodialysis for a client who has an AKI.
Which of the following actions should the nurse take? (Select all that apply)
A. Review the medications the client is currently taking
B. Assess the AV fistula for a bruit
C. Calculate the client's hourly urine output
D. Measure the client's weight
E. Check serum electrolytes
F. Use the access site are for venipunture
A, B, D, E
A- some medications will need to be held until after hemodialysis
B- A thrill and bruit indicate patency
C- Hourly urine output does not determine the need for dialysis
D- weight must be measured before and after dialysis due to risk of overload
E- Serum electrolytes determine the need for dialysis
F- Never do this or you could lose access
