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WorksheetsCKD Quiz
Total questions: 15
Worksheet time: 26mins
The nurse who is caring for a client with kidney failure notes that the client is dyspneic, and crackles are heard when listening to breath sounds in the lungs. Which additional sign/symptom would the nurse expect to note in this client?
Rapid Weight Loss
Flat hand and neck veins
Weak and thready pulse
Increase in blood pressure
A client with chronic kidney disease has been on dialysis for 3 years. The client is receiving the usual combination of medications for the disease, including aluminum hydroxide as a phosphate-binding agent. The client now has mental cloudiness, dementia, and complaints of bone pain. Which does this data indicate?
Advancing uremia
Phosphate overdose
Folic acid deficiency
Aluminum intoxication
client has passed a renal calculus. The nurse sends the specimen to the laboratory so it can be analyzed for which of the following factors?
Antibodies
Type of infection
Composition of calculus
Size and number of calculi
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 site dry.
Keep the AV fistula wrapped in gauze.
Take the blood pressure in the left arm.
Assess the AV fistula for a bruit and thrill.
Which of the following factors causes the nausea associated with renal failure?
Oliguria
Gastric ulcers
Electrolyte imbalances
Accumulation of waste products
A nurse is assessing the patency of an arteriovenous fistula in the left arm of a client who is receiving hemodialysis for the treatment of chronic renal failure. Which finding indicates that the fistula is patent?
Absence of bruit on auscultation of the fistula.
Palpation of a thrill over the fistula.
Presence of a radial pulse in the left wrist.
Capillary refill time less than 3 seconds in the nail beds of the fingers on the left hand.
The nurse helps the client with chronic renal failure develop a home diet plan with the goal of helping the client maintain adequate nutritional intake. Which of the following diets would be most appropriate for a client with chronic renal failure?
High carbohydrate, high protein
High calcium, high potassium, high protein
Low protein, low sodium, low potassium
Low protein, high potassium
The major risk of peritoneal dialysis
(a)
A postcardiac surgery client with a blood urea nitrogen (BUN) level of 45 mg/dL (16.2 mmol/L) and a serum creatinine level of 2.2 mg/dL (193.6 mcmol/L) has a total 2-hour urine output of 25 mL. The nurse understands that the client is at risk for which condition?
Hypovolemia
Acute Kidney Injury Stage Oliguric
UTI
Chronic Kidney Disease
The nurse is reviewing the client's record and notes that the primary health care provider (PHCP) has documented that the client has a renal disorder. Which laboratory results would indicate a decrease in renal function? Select all that apply.
Elevated serum creatinine level
Elevated thrombocyte cell count
Decreased red blood cell (RBC) count
Decreased white blood cell (WBC) count
Elevated blood urea nitrogen (BUN) level
A client with chronic kidney disease who is scheduled for hemodialysis this morning is due to receive a daily dose of enalapril. When would the nurse plan to administer this medication?
During dialysis
The day after dialysis
On return from dialysis
5 mins before dialysis
The nurse is assisting in planning a diet for a client with acute kidney injury (AKI). The nurse plans to restrict which dietary component from this client's diet?
Fats
Vitamins
Potassium
Carbohydrates
A male client has a tentative diagnosis of urethritis. The nurse would assess the client for which manifestation of the disorder.
Hematuria and pyuria
Dysuria and proteinuria
Hematuria and urgency
Dysuria and penile discharge
The nurse is monitoring an older client suspected of having a urinary tract infection (UTI) for signs of infection. Which sign/symptom is likely to present first?
Fever
Urgency
Confusion
Frequency
Select all the patients below that are at risk for acute intra-renal injury?
A 45 year old male with a renal calculus.
A 65 year old male with benign prostatic hyperplasia.
A 25 year old female receiving chemotherapy.
A 36 year old female with renal artery stenosis.
A 6 year old male with acute glomerulonephritis.
