The client with chronic renal failure who is scheduled for hemodialysis this morning is due to receive a daily dose of enalapril (Vasotec). The nurse should plan to administer this medication: A. Just before dialysis. B. During dialysis. C. On return from dialysis. D. The day after dialysis. … Read More »
What is the best way to check for patency of the arteriovenous fistula for hemodialysis? A. Pinch the fistula and note the speed of filling on release. B. Use a needle and syringe to aspirate blood from the fistula. C. Check for capillary refill of the nail beds on that extremity. … Read More »
The nurse is evaluating the discharge teaching for a client who has an ileal conduit. Which of the following statements indicates that the client has correctly understood the teaching? Select all that apply. A. “If I limit my fluid intake I will not have to empty my ostomy pouch as often.” B. “I… Read More »
The client with chronic renal failure has an indwelling catheter for peritoneal dialysis in the abdomen. The client spills water on the catheter dressing while bathing. The nurse should immediately: A. Reinforce the dressing. B. Change the dressing. C. Flush the peritoneal dialysis catheter. D. Scrub the catheter with povidone-iodine. … Read More »
You have a paraplegic patient with renal calculi. Which factor contributes to the development of calculi? A. Increased calcium loss from the bones. B. Decreased kidney function. C. Decreased calcium intake. D. High fluid intake. Correct Answer: A. Increased calcium loss from the bones. Bones lose calcium… Read More »
The client being hemodialyzed suddenly becomes short of breath and complains of chest pain. The client is tachycardic, pale, and anxious. The nurse suspects air embolism. The nurse should: A. Continue the dialysis at a slower rate after checking the lines for air. B. Discontinue dialysis and notify the physician. C. Monitor… Read More »
What is the most important nursing diagnosis for a patient in end-stage renal disease? A. Risk for injury B. Fluid volume excess C. Altered nutrition: less than body requirements D. Activity intolerance Correct Answer: B. Fluid volume excess Kidneys are unable to rid the body of excess… Read More »
The nurse teaches the client with a urinary diversion to attach the appliance to a standard urine collection bag at night. The most important reason for doing this is to prevent: A. Urine reflux into the stoma. B. Appliance separation C. Urine leakage D. The need to restrict fluids. … Read More »
The nurse has completed client teaching with the hemodialysis client about self-monitoring between hemodialysis treatments. The nurse determines that the client best understands the information given if the client states to record the daily: A. Pulse and respiratory rate B. Intake, output, and weight C. BUN and creatinine levels D. Activity… Read More »
Frequent PVCs are noted on the cardiac monitor of a patient with end-stage renal disease. The priority intervention is: A. Call the doctor immediately. B. Give the patient IV lidocaine (Xylocaine). C. Prepare to defibrillate the patient. D. Check the patient’s latest potassium level. Correct Answer: D.… Read More »