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NUR 213 Exam 4
- A nurse is assessing a client who experienced a rapid loss of renal function and is determined
- reduced BUN level
- elevated cardiac enzymes
- reduced urine output
- elevated serum creatinine level
- increased sodium in the urine
to be in the prerenal stage of AKI. Which of the following should the nurse expect (SATA)?
Answer
- reduced urine output
- elevated serum creatinine level
- A nurse is reviewing the lab results of a client with stage 4 CKD. Which of the following
findings should the nurse expect?
A. BUN 15
B. GFR 20
- Creatinine 1.1
- Potassium 5.0
Answer
B. GFR 20
- A nurse is planning care for a client on hemodialysis. Which of the following should the nurse
- monitor the client's weight daily
- encourage the client to comply with fluid restrictions
- evaluate intake and output
- instruct the client about restricting calories from carbs
- monitor the client for elevated potassium levels
include in the plan of care (SATA)?
Answer
- monitor the client's weight daily
- encourage the client to comply with fluid restrictions
- evaluate intake and output
- monitor the client for elevated potassium levels
- Which of the following ECG findings indicate hyperkalemia?
- prominent delta waves
- peaked T wave
- prominent U wave
- osbourne J wave 1 / 3
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Answer
- peaked T wave
- The nurse understands that which of the following is the primary indication for hemodialysis
- ascites
- alkalosis
- hypotension
- serum creatinine greater than 8
in a client with chronic renal failure?
Answer
- serum creatinine greater than 8
- a nurse at a hemodialysis center is caring for a client who has a new order for erythropoietin
to be administered subcutaneously. which of the following
side effects should the nurse advise the client to report to the HCP?
- anuria
- pruritus
- nausea
- severe headache
Answer
- severe headache
- A physician orders sodium polystyrene sulfonate (Kayexalate) to be given to a patient in
- increasing the release of insulin, which promotes movement of potassium into body cells.
- promoting loss of body potassium by promoting the excretion of potassium in alkaline urine.
- promotion of the exchange of potassium ions for sodium ions in the GI system, increasing
- an increase in blood pH, resulting in movement of potassium from the extracellular fluid
acute renal failure whose serum potassium level is 6.9 mEq/L.The nurse recognizes that the expected effect of the Kayexalate is
potassium elimination.
into the cells in exchange for hydrogen ions.
Answer
- promotion of the exchange of potassium ions for sodium ions in the GI system, increasing
- Which of the following is a possible etiology of post-renal acute kidney injury (AKI)?
- The patient who received a contrast dye agent.
- The patient who has malignant prostate cancer.
- The patient who experienced cardiogenic shock.
- The patient who has renal artery stenosis. 2 / 3
potassium elimination.
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Answer
- The patient who has malignant prostate cancer.
- In the oliguric phase of acute kidney injury (AKI) which changes in labora- tory data are
- Serum BUN and creatinine return to baseline
- Serum BUN, creatinine, and potassium levels increase.
- Serum BUN and creatinine fall and potassium levels rise.
- Serum BUN and creatinine rise and patient develops metabolic alkalosis
anticipated?
Answer
- Serum BUN, creatinine, and potassium levels increase.
- One of the major disadvantages of peritoneal dialysis is that
Answer
- hypotension is a constant problem because of continuous fluid removal.
- blood loss can be extensive because of the use of heparin to keep the catheter patent.
- solutes are removed more rapidly from the blood than from the CNS.
- high glucose concentrations of the dialysate causes carbohydrate and lipid
abnormalities.
Answer
- high glucose concentrations of the dialysate causes carbohy- drate and lipid abnormalities.
- A patient with Acute Kidney Injury (AKI) has the following lab results. Which one is
- Hematocrit of 32%
- Sodium of 121 mEq/L
- Ammonia level 85 mcgN/dL
- creatinine of 1.2 mg/dL
indicative of improvement in his condition?
Answer
- creatinine of 1.2 mg/dL
- A patient undergoes hemodialysis, to effectively evaluate the outcome of this treatment the
nurse should expect
Answer
- Weight Loss
- International Normalized Ratio (INR) of 3.5
- Decreases in pH
- / 3