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WorksheetsRenal failure analyze quiz
Total questions: 20
Worksheet time: 10mins
A client with acute kidney injury has a serum potassium of 7.0 mEq/L. Which action should the nurse implement first?
Administer IV insulin with dextrose
Prepare for hemodialysis
Place the client on a cardiac monitor
Restrict dietary potassium
A client with ESRD presents with dyspnea, crackles in the lungs, and 3+ peripheral edema. Which interventions should the nurse implement? Select all that apply.
Administer prescribed diuretics
Restrict oral fluids
Elevate the head of the bed
Encourage ambulation
A client in the oliguric phase of AKI produces 200 mL of urine in 24 hours. Which is the priority nursing assessment?
Assess for fluid overload
Monitor potassium levels
Evaluate for infection
Administer diuretics immediately
A client with AKI receives IV furosemide for oliguria. Which finding indicates treatment effectiveness?
Urine output increases to 800 mL/24 hr
Weight gain of 2 kg
Persistent hyperkalemia
Crackles in lungs increase
A client with chronic kidney disease is prescribed sodium polystyrene sulfonate. Which finding indicates that the medication has been effective?
Serum potassium decreases from 6.8 mEq/L to 5.2 mEq/L
Serum sodium increases from 138 mEq/L to 145 mEq/L
Urine output increases from 400 mL/day to 700 mL/day
BUN decreases from 70 mg/dL to 50 mg/dL
Which combination of foods would be most appropriate for this client?
Baked chicken, white rice, strawberries, green beans
Baked salmon, baked potato, orange juice, broccoli
Yogurt, banana, tomato soup, whole wheat bread
Spinach salad with avocado, milk, baked kidney beans
A 58-year-old client with end-stage renal disease (ESRD) presents for routine lab monitoring. The nurse reviews the following results: • BUN: 78 mg/dL (normal 7–20 mg/dL) • Creatinine: 8.2 mg/dL (normal 0.6–1.3 mg/dL) • Potassium: 6.4 mEq/L (normal 3.5–5.0 mEq/L) • Calcium: 7.2 mg/dL (normal 8.5–10.5 mg/dL) • Phosphate: 7.8 mg/dL (normal 2.5–4.5 mg/dL) Which abnormality requires the nurse to take the highest-priority action?
Elevated BUN
Elevated creatinine
Hyperkalemia
Hypocalcemia
A client with ESRD has a BUN of 92 mg/dL (normal 7–20 mg/dL). Which nursing action is most appropriate?
Administer IV fluids immediately
Monitor for signs of uremia, such as nausea and confusion
Restrict dietary protein completely
Notify provider for emergent dialysis
A client’s creatinine increased from 5.0 mg/dL to 7.5 mg/dL over 48 hours. Which interpretation is correct?
Normal variation
Worsening renal function
Recovery phase of ESRD
Lab error
A client with ESRD has sodium 128 mEq/L. Which assessment finding is consistent?
Confusion and lethargy
Muscle cramps from hypernatremia
Increased urine output
Hypertension
A client with ESRD presents with: • Dyspnea at rest • O₂ saturation 85% • 3+ peripheral edema • Crackles bilaterally
Impaired Gas Exchange related to pulmonary edema
Risk for Infection related to dialysis catheter
Activity Intolerance related to fatigue
Imbalanced Nutrition related to protein restriction
A client has just completed hemodialysis and is assessed with: • Blood pressure: 88/54 mmHg • Dizziness and lightheadedness • Pallor and diaphoresis Which nursing diagnosis is the highest priority?
Risk for Injury related to dizziness
Deficient Fluid Volume related to ultrafiltration
Fatigue related to dialysis
Ineffective Peripheral Tissue Perfusion related to hypotension
A client has a peritoneal dialysis catheter. Which nursing diagnosis is priority to prevent complications?
Risk for Infection related to vascular access
Impaired Skin Integrity
Anxiety related ot performing dialysis at home
Activity Intolerance
14. The priority nursing diagnosis for a client with ESRD experiencing bone pain from renal osteodystrophy is:
Risk for Injury
Impaired Gas Exchange
Ineffective Airway Clearance
Deficient Fluid Volume
A client with ESRD has K+ 6.0 mEq/L and phosphate 7.5 mg/dL. Which dietary intervention is most appropriate?
Provide low-potassium, low-phosphate meals
Encourage fresh fruits for fiber
Offer milk and cheese
Allow unlimited protein on dialysis days
A client has pH 7.28, HCO3− 16 mEq/L. Which nursing action is appropriate?
Administer IV sodium bicarbonate as prescribed
Restrict fluids
Encourage high-potassium foods
Provide IV calcium gluconate
A client with chronic kidney disease (CKD) is experiencing Kussmaul respirations. Which acid-base imbalance should the nurse suspect the client is experiencing?
Respiratory alkalosis
Metabolic acidosis
Respiratory acidosis
Metabolic alkalosis
A patient with stage 2 chronic kidney disease (CKD) is scheduled for an intravenous pyelogram (IVP). Which of these orders for the patient will the nurse question?
NPO for 6 hours before IVP procedure
Normal saline 500 mL IV before procedure
Ibuprofen (Advil) 400 mg PO PRN for pain
Dulcolax suppository 4 hours before IVP procedure
Which statement by a patient with stage 5 chronic kidney disease (CKD) indicates that the nurses teaching about management of CKD has been effective?
I need to try to get more protein from dairy products.
I will try to increase my intake of fruits and vegetables.
I will measure my urinary output each day.
I need to take the erythropoietin to boost my immune system.
Which action by a patient who is using peritoneal dialysis (PD) indicates that the nurse should provide more teaching about PD?
The patient leaves the catheter exit site without a dressing.
The patient plans 30 to 60 minutes for a dialysate exchange.
the patient cleans the catheter while taking a bath each day.
The patient slows the inflow rate when experiencing abdominal pain.
