WorksheetsF&E/Renal Fx KA
Total questions: 15
Worksheet time: 8mins
Which electrolyte imbalance is most likely in a client with end-stage renal disease (ESRD)?
Hypokalemia
Hyperkalemia
Hypocalcemia
Hypophosphatemia
A client with renal failure has a serum potassium level of 6.2 mEq/L. Which medication does the nurse anticipate administering?
Furosemide
Calcium gluconate
Spironolactone
Potassium chloride
Which ECG change is associated with hyperkalemia?
Prolonged QT interval
Flattened T wave
Peaked T wave
ST segment depression
A nurse is caring for a client with hyponatremia (Na+ 122 mEq/L). Which manifestation should the nurse expect?
Constipation
Muscle cramps and confusion
Dry mucous membranes
Increased thirst
Which finding is most concerning in a client with hypocalcemia?
Bone pain
Constipation
Positive Chvostek’s sign
Bradycardia
A client with chronic kidney disease has phosphorus 6.0 mg/dL. Which diet choice is most appropriate?
Milk and cheese
Chicken and broccoli
Peanut butter and cola
Ice cream and yogurt
Which fluid shift occurs in hypernatremia?
Fluid moves from the extracellular space into the cells
Fluid moves from the cells into the extracellular space
Fluid remains unchanged between compartments
Fluid shifts only within the vascular system
Which nursing intervention is priority for a client with fluid volume overload related to renal failure?
Strict intake and output
Encourage oral fluids
Provide salt-rich snacks
Administer potassium supplements
Which assessment best indicates treatment effectiveness for fluid volume overload?
Weight gain
Crackles in the lungs
Decreased peripheral edema
Elevated blood pressure
Which acid-base imbalance is most common in renal failure?
Respiratory alkalosis
Metabolic acidosis
Respiratory acidosis
Metabolic alkalosis
Which client with renal disease should be reported to the provider immediately?
Hemoglobin 11 g/dL
Serum potassium 6.8 mEq/L
Serum calcium 8.5 mg/dL
Serum creatinine 3.0 mg/dL
Which lab value best reflects kidney function?
Hematocrit
Creatinine
Sodium
Potassium
A nurse is educating a client with renal failure on erythropoietin injections. Which statement shows understanding?
This will lower my blood pressure.
This helps increase my red blood cell count.
This prevents my potassium from getting too high.
This will reduce swelling in my legs.
Which urine output indicates oliguria in a client with acute renal failure?
700 mL/day
400 mL/day
1,200 mL/day
2,000 mL/day
A client with peritoneal dialysis develops cloudy dialysate outflow. What is the nurse’s priority action?
Document as expected
Encourage the client to ambulate
Notify the provider
Increase the dialysate flow rate
