A 30 y.o. female patient is undergoing hemodialysis with an internal arteriovenous fistula in place. What do you do to prevent complications associated with this device? A. Insert I.V. lines above the fistula. B. Avoid taking blood pressures in the arm with the fistula. C. Palpate pulses above the fistula. D.… Read More »
A client is admitted with a diagnosis of hydronephrosis secondary to calculi. The calculi have been removed and post obstructive diuresis is occurring. Which of the following interventions should be done? A. Take vital signs every 8 hours. B. Weigh the client every other day. C. Assess for urine output every shift.… Read More »
A priority nursing diagnosis for the client who is being discharged home 3 days after a TURP would be: A. Deficient fluid volume B. Imbalanced Nutrition: Less than Body Requirements C. Impaired Tissue Integrity D. Ineffective Airway Clearance Correct Answer: A. Deficient fluid volume Deficient Fluid Volume… Read More »
Your patient becomes restless and tells you she has a headache and feels nauseous during hemodialysis. Which complication do you suspect? A. Infection B. Disequilibrium syndrome C. Air embolism D. Acute hemolysis Correct Answer: B. Disequilibrium syndrome Disequilibrium syndrome is caused by a rapid reduction in urea,… Read More »
A 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? A. Antibodies B. Type of infection C. Composition of calculus D. Size and number of calculi Correct Answer: C. Composition of… Read More »
If a client’s prostate enlargement is caused by a malignancy, which of the following blood examinations should the nurse anticipate to assess whether metastasis has occurred? A. Serum creatinine level B. Serum acid phosphatase level C. Total nonprotein nitrogen level D. Endogenous creatinine clearance time Correct Answer:… Read More »
Your patient is complaining of muscle cramps while undergoing hemodialysis. Which intervention is effective in relieving muscle cramps? A. Increase the rate of dialysis. B. Infuse normal saline solution. C. Administer a 5% dextrose solution. D. Encourage active ROM exercises. Correct Answer: B. Infuse normal saline solution… Read More »
Which of the following symptoms indicate acute rejection of a transplanted kidney? A. Edema, Nausea B. Fever, Anorexia C. Weight gain, pain at graft site D. Increased WBC count, pain with voiding Correct Answer: C. Weight gain, pain at graft site Pain at the graft site and… Read More »
Steroids, if used following kidney transplantation would cause which of the following side effects? A. Alopecia B. Increase Cholesterol Level C. Orthostatic Hypotension D. Increase Blood Glucose Level Correct Answer: D. Increased Blood Glucose Level In the past, people with kidney transplants usually have taken steroids (such… Read More »