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WorksheetsMrs. Lamb's Complication exam
Total questions: 20
Worksheet time: 5hrs 0mins
1. A patient undergoing hemodialysis complains of muscle cramps in the calves and feet. All of the following are likely causes EXCEPT:
A. hypernatremia (high-sodium level).
B. excess fluid removal.
C. hypercalcemia (high-calcium level).
D. hypokalemia (low potassium).
A hemodialysis patient suddenly develops trouble breathing, hives, itching, and hypotension. The most likely cause is:
A. an air embolism.
B. an anaphylactic reaction.
C. angina.
D. disequilibrium syndrome.
Which of the following statements about hypertension is false?
(a) Antihypertensive medication is better taken before bed
(b) Nocturnal hypertension is more common in CKD
(c) The arm with the lower blood pressure is used
(d) Patient self-management improves control of blood pressure
(e) High blood pressure increases the risk of end-stage kidney disease
Which of the following statements is correct?
(a) Raised jugular venous pressure is a reliable marker of fl uid overload
(b) High blood pressure indicates increased total body sodium
(c) Increased total body sodium usually causes high blood pressure
d) Lymphoedema is incompressible
(e) Sleeping in a chair worsens leg edema
Which of the following statements about hypercalcemia is false?
(a) It reduces GFR due to vasoconstriction
(b) It impairs urinary concentration
(c) It can be caused by loop diuretics
d) It is associated with raised alkaline phosphatase with metastatic carcinoma
(e) It is associated with normal alkaline phosphatase in multiple myeloma
If an air embolism occurs, how should a patient be placed?
supine
fowlers
Trendelenberg on left side
Trendelenberg on right side
What symptom is "cherry pop" red color?
Hemophilia
Hemolysis
Hemoglobin
Hemitocrit
When does first-use syndrome usually appear?
5-10 min. after start of TX.
1-2 min. before start of TX.
15-30 min. after start of TX
5-10 min. before start of tx.
Severe chest pain and dyspnea are symptoms of what?
blood clot
air embolism
Cardiac Arrest
Angina
What are three signs or symptoms of an access infection?
Steal syndrome
drainage
fever
swelling
What are the symptoms of an air embolism?
sob
coughing
fever
confusion
Steal Syndrome may occur with AV fistulas or AV Grafts.
true
false
What is low potassium?
Hypokalemia-
Low Sodium-
Muscle Weakness-
Hypernatremia-
Hypophosphatemia-
What is hyponatremia?
Hypokalemia-
Low Sodium-
Muscle Weakness-
Hypernatremia-
Hypophosphatemia-
What are the symptoms for Hyperkalemia?
Hypokalemia-
Low Sodium-
Muscle Weakness-
Hypernatremia-
Hypophosphatemia-
What is high sodium?
Hypokalemia-
Low Sodium-
Muscle Weakness-
Hypernatremia-
Hypophosphatemia-
What is low phosphorous?
Hypokalemia-
Low Sodium-
Muscle Weakness-
Hypernatremia-
Hypophosphatemia-
The most serious electrolyte disorder associated with kidney disease is?
Hypermagnesemia
Hyponatremia
Hyperkalemia
Metabolic acidosis
The tech is performing an assessment on a client who has returned from the dialysis unit following hemodialysis. The client is complaining of a headache and nausea and is extremely restless. Which of the following is the most appropriate nursing action?
Notify the physician
Monitor the client
Elevate the head of the bed
Medicate the client for nausea
Ivan Jackson, 63 years old, has been on in-center hemodialysis for three years. Mr. Jackson’s pre-dialysis blood pressure is 133/92 mm Hg.
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The technician prepares and cannulates Mr. Jackson’s arteriovenous (AV) fistula. An AV fistula is an example of a
Central venous access.
Peripheral access.
Temporary access.
Woven polyester access.
