WorksheetsMS3 Renal-Liver 15Q
Total questions: 15
Worksheet time: 8mins
A nurse is assessing a client diagnosed with acute kidney injury (AKI) following cardiogenic shock. Which finding is the most concerning?
Mild bilateral swelling of ankles
Blood urea nitrogen (BUN) of 30 mg/dL
Urine output of 230 mL over the past 12 hours
Slight expiratory wheezing noted on auscultation
A nurse is evaluating a client with acute kidney injury (AKI). Which lab result suggests declining renal function?
Serum creatinine of 0.9 mg/dL, decreased from 1.4 mg/dL
Blood urea nitrogen (BUN) of 42 mg/dL, increased from 10 mg/dL
Potassium level of 3.8 mEq/L, from a previous level of 5.2 mEq/L
Urine output of 2,100 mL in the past 24 hours, from 1,000 mL the previous day
A nurse is assessing a client with end-stage renal disease (ESRD). Which lab findings are expected in renal failure? Select all that apply.
Calcium level of 9.7 mg/dL
Blood glucose of 115 mg/dL
Phosphorus level of 5.5 mg/dL
Serum potassium of 6.1 mEq/L
Glomerular filtration rate 95 mL/min
A nurse is assessing a client with chronic renal failure. Which finding is most consistent with worsening kidney function?
Urine output of 165 mL over 6 hr. and a GFR of 40mL/min
Serum creatinine of 0.9 mg/dL and heart rate of 102 bpm
Blood pressure of 96/58 mmHg and RR of 22 breaths/min
Albumin level of 4.2 g/dL and potassium level of 3.6 mEq/L
A nurse is assessing a client with end-stage chronic kidney disease (CKD). Which finding requires immediate intervention?
Serum potassium level of 6.2 mEq/L with peaked T waves on ECG
Serum sodium level of 135 mEq/L with bilateral ankle swelling
Blood pressure of 135/80 mmHg with a HR of 100 beats/min
Hemoglobin of 10.5 g/dL with complaints of mild fatigue
A nurse is providing dietary education to a client with end-stage CKD. Which statement by the client indicates a need for further teaching?
I should limit foods high in sodium to help prevent swelling and BP.
I can continue taking ibuprofen for pain management as needed.
I need to be cautious with high-potassium foods, like bananas and potatoes.
It's important to monitor my phosphorus intake to avoid complications.
A nurse is educating a client with chronic kidney disease (CKD) on laboratory monitoring. Which tests are most important for assessing CKD progression?
Serum creatinine and GFR
Blood glucose and anion gap
C-reactive protein and liver enzymes
Total protein levels and hemoglobin A1c
A nurse is educating a client with end stage CKD about dietary choices. Which statement indicates a need for further teaching?
Sodium restriction is important to manage my BP and fluid levels.
I need to limit high-protein foods to prevent additional kidney strain.
Eating a high-potassium diet will help regulate my electrolyte balance.
Monitoring phosphorus intake is key to protecting my bones and heart.
A 65-year-old patient with CKD presents with complaints of low energy and difficulty completing activities. Which clinical manifestations would the nurse expect to observe in this patient due to decreased erythropoietin production?
Reduced exercise tolerance
Persistent fatigue
Yellowing of the skin and eyes
Easy bruising
Pallor of the skin
During pre-dialysis education, a client asks for guidance on how to best care for their dialysis access and overall fluid management. Which instructions provided by the nurse are most appropriate?
Do not sleep on the “fistula” arm as pressure can decrease blood flow
When you are undergoing hemodialysis you can drink up to 3L of fluid daily
Weigh yourself daily as measurements are needed to track fluid fluctuations
Limit foods high in potassium to reduce the risk of developing dangerous electrolyte imbalances
Recognize that your dialysis treatment manages symptoms of kidney failure but does not fix kidney function
When performing a routine assessment of a patient’s dialysis access site, the nurse palpates a buzzing sensation over the fistula. Which statements accurately describe this finding?
It suggests that the access site may be infected or clotted.
It is a normal, favorable sign that the access is functioning properly.
It signals that further evaluation for malfunction is immediately required.
It confirms that the fistula is patent and ready for hemodialysis treatments.
It indicates that there is a good volume of blood moving through the fistula.
A client with decompensated cirrhosis develops confusion and asterixis. Which medication should the nurse anticipate administering to reduce ammonia levels and improve mental status?
Neomycin
Lactulose
Rifaximin
Metronidazole
In a patient admitted with acute liver failure, which laboratory values would the nurse expect to be elevated?
Alkaline phosphatase (ALP)
Serum ammonia
Serum albumin
Total bilirubin
Aspartate aminotransferase (AST)
A nurse is monitoring several clients with kidney concerns. Which client requires immediate intervention?
A client whose creatinine went from 1.1 mg/dL to 2.4 mg/dL in 48 hours
A client with chronic kidney disease and a BUN level of 30 mg/dL
A client recovering from dehydration with a potassium level of 5. 1 mEq/L
A client reporting mild fatigue with an estimated GFR of 75 mL/min
A nurse is reviewing the medication list of a client with chronic kidney disease (CKD). Which medication should be questioned due to its potential nephrotoxicity?
Ibuprofen
Calcium carbonate
Furosemide
Acetaminophen
