NR 325 Renal Practice Questions Answers Renal/Urinary Questions

NR 325 NR 325 Renal Practice Questions Answers Renal/Urinary Questions NR 325 Renal Practice Questions Answers Renal/Urinary Questions 1. A client with acute kidney injury has a serum potassium level of 7.0 mEq/L (7.0 mmol/L). The nurse should plan to implement which interventions? (Select all that apply) a. Place client on a cardiac monitor. b. Administer polystyrene sulfonate. c. Put the client on NPO status. d. Implement seizure precautions. e. Administer a 0.9 normal saline fluid bolus. 2. The nurse is assessing the patency of a client's left arm arteriovenous fistula prior to initiating hemodialysis. Which finding indicates that the fistula is patent? a. Palpation of a thrill over the fistula b. Presence of a radial pulse in the left wrist c. Visualization of enlarged blood vessels at the fistula site d. Capillary refill less than 3 seconds in the fingers of the left hand 3. A nurse is caring for a client with pyelonephritis. Which assessment finding requires immediate intervention? a. Fever of 100.5° F b. Heart rate 108 beats/minute c. Blood pressure 92/54 d. Respiration rate 22 breaths/minute 4. A client with pyelonephritis has developed acute kidney injury (AKI). Which manifestations should the nurse expect to observe in the client? (Select all that apply) a. Bradycardia b. Hypertension c. Hyperkalemia d. Fatigue e. Weight gain 5. A nurse is caring for a client in the diuretic phase of acute kidney injury. What manifestations does the nurse expect? (Select all that apply) a. Increased urine output b. Bradycardia c. Metabolic alkalosis d. Fevers e. Decreased blood pressure 6. In performing a physical assessment of a client with chronic kidney disease (CKD), which finding should the nurse anticipate? a. Glycosuria b. Polyphagia c. Crackles in the lungs d. Blood pressure 98/58 7. The client with a crush injury to the leg has a highly positive urine myoglobin level. The nurse should assess this client carefully for signs and symptoms of which problem? a. Brain attack b. Respiratory failure c. Myocardial infarction d. Acute kidney injury 8. The nurse knows which medications are highly nephrotoxic? (Select all that apply) a. Acetaminophen b. Gentamicin c. Amphotericin B d. Contrast dye e. Amikacin 9. A nurse is providing discharge teaching for a client with a new right arm AV fistula. Which statement made by the client indicates a need for further instruction? a. “I will make sure to not allow any blood pressures be taken on my right arm.” b. “I will be able to start dialysis right away now that I have the fistula.” c. “The phlebotomist will only be able to use my left arm for obtaining blood.” d. “I will monitor my fistula for any signs of infection.” 10. A nurse is caring for a client with chronic renal failure. The nurse anticipates which laboratory finding? a. Potassium 4.9 mEq/L b. Hemoglobin 8.1 g/dl c. Calcium 12.2 mg/dl d. Creatinine 0.6 mg/dl 11. The nurse in reviewing renal diet restrictions with the client; after each dietary item note if the food item should be restricted or increased. a. Calcium rich food such as milk and beans. Increased b. Potassium rich food such as bananas and melon. Restricted c. Phosphorus rich food such as red meat and fish. Restricted d. Iron rich food such as eggs and nuts. Increased e. Sodium enhanced foods such as canned & processed foods. Restricted f. Protein rich food such as turkey, pork and eggs. Restricted g. Carbohydrates: No restrictions, but recommended to avoid highly processed. h. Fats: No restrictions, but healthy fats are recommended.