Exam #3 Practice

A nurse is discussing kidney transplant with a client who has end-stage renal disease (ESRD). Which of the following should the nurse identify as a contraindication for this treatment?

• Breast cancer survivor for 8 years

• Client has an implanted pacemaker

• The client is 65-years of age

• The client has alcohol use disorder

When assessing your clients vascular access dialysis catheter you should document palpation of the

The nurse is providing education for a client that has just returned from placement of a vascular access dialysis catheter in the right upper arm. What education should the nurse include in the client's plan of care?

• Do not use the right extremity for blood pressures assessment

• Discourage the client from lying on the Vas Cath arm

• Peripheral venous access should be obtained in the right extremity

• Educate the client or caregiver to check the distal pulses

Your dialysis dependent client is being seen on a routine visit when they state, "I love being able to eat healthy foods like honey dew melons, sweet potatoes, and mango". What is the best nursing response to this client's statement?

• I am so happy to hear you are eating healthy.

• These are all great sources of vitamins and fiber.

• You should be consuming more protein-rich foods.

• You may enjoy papayas, oranges, and bananas too.

Your client's labs result show a calcium level of 7.2 mg/dL indicating hypocalcemia. Which sign/symptom would you expect for this client?

• Elevation of EKG

• Trousseau's sign

• Nausea and Vomiting

• Deep bone pain

When teaching your client on how to attach the peritoneal dialysis system, it is important to educate them on using ________ technique.

A family member of a dying patient asks the nurse, what is hospice really for? What answers below would you include in the description of hospice?

• It addresses holistic needs of the client

• Provides quality life with a peaceful death

• It does not hasten or postpone death of the client

• Provides comfort and dignity for a good death.

A nurse is preparing to obtain a daily weight from a client who has chronic kidney disease. Which of the following actions should the nurse implement?

• Use any available scale to weigh the client.

• Balance the scale at minus two before weighing the client.

• Weigh the client after they have voided.

• Obtain the weight each day at a time most convenient for the client.

A nurse is assessing a group of clients for hospice services. The nurse should recommend hospice care for which of the following clients?

• A client who has diabetes mellitus and is having difficulty self-administering insulin because of poor eye sight

• A client who has terminal cancer and needs assistance with pain management

• client who is recovering from a stroke and needs someone to provide care while his spouse is at work

• A client who has dementia and needs help with activities of daily living

A nurse is providing teaching to a client who has a diagnosis of aids and is has oral candidiasis. A new prescription for nystatin suspension has been ordered. Which of the following statements by the client indicates an understanding of the teaching?

• "I will store the medication at room temperature."

• "I will take the medicine every morning on an empty stomach."

• "I will spit the medication out after swishing it around my mouth."

• "I will only need to take this medication for a few days."