201 Week 7 Renal

A patient has urolithiasis and is passing the stones into the lower urinary tract. What is the priority nursing concern for the patient at this time?

• Infection

• Injury

• Anxiety

• Pain

The nurse is admitting a patient with AKI. Which assessment finding supports this diagnosis?

• Lower extremity edema

• Hypotension

• Increased urine output

• Flank pain

Which statement indicates understanding about administration of erythropoietin for chronic kidney disease?

• "Urinary output is expected to increase."

• "It should be given at the lowest dose about 3 times a week."

• "Side effects include hypotension and nausea."

• "The medication will stimulate production of white blood cells."

When caring for a patient with hyperkalemia due to AKI, which medications should the nurse anticipate to administer?

• Subcutaneous insulin and IV furosemide

• PO kayexalate and IV sodium bicarbonate

• IV calcium carbonate and PO kayexalate

• IV insulin and PO sodium chloride

Which findings are consistent with being the diuretic phase of AKI? [Select all that apply]

• Hyperkalemia

• Increased urinary output

• Hyponatremia

• Hypoglycemia

• Weight gain

Which statement regarding automated peritoneal dialysis indicates a need for further patient teaching?

• "If my drainage is cloudy, I need to call my doctor."

• "I've been swimming in a lake in every day this summer because it's so hot."

• "I keep a bottle of hand sanitizer next to PD machine."

• "Since I work night shift, I connect myself to the machine during the day when I'm sleep."

The patient with chronic kidney disease is scheduled for dialysis in the morning. While examining the patient's telemetry strip, the nurse notes tall peaked T-waves and subsequently notifies the physician who orders a STAT basic metabolic panel (BMP). What result from the BMP confirms the EKG abnormality?

• Calcium 9.3 mg/dL

• Sodium 134 mEq/L

• Potassium 7.3 mEq/L

• Magnesium 2.2 mg/dL

A patient with stage 4 chronic kidney disease asks what type of diet they should follow. The nurse explains that the patient should follow a:

• Low protein, high sodium, high potassium, high phosphate diet

• Low protein, low sodium, low potassium, low phosphate diet

• High protein, low sodium, low potassium, high phosphate diet

• Low protein, low sodium, low potassium, high phosphate diet

The student nurse is providing discharge teaching to a patient who was hospitalized for the treatment of a kidney stone. The type of kidney stone the patient experienced was a uric acid type stone. What type of foods will the student nurse educate the patient to avoid?

• Liver, scallops, anchovies, sardines, pork

• Cabbage, spinach, tomatoes, strawberries

• Ice cream, milk, pork, cheese

• Beans, potatoes, corn, peas

A client has a history of chronic renal failure and received hemodialysis treatments three times per week through an arteriovenous (AV) fistula in the left arm. Which of the following interventions is included in this client’s plan of care?

• Keep the AV fistula wrapped in compression gauze.

• Assess the AV fistula for a bruit and thrill

• Take the blood pressure in the left arm

• Keep the AV fistula site dry