ADV Med Surg exam1 Renal

22問 • 1年前

問題一覧

1. The nurse has provided discharge instructions to a client who is newly diagnosed with nephrotic syndrome. Which of the following client statements indicates a correct understanding of the teaching

I must protect myself from developing an infection Pg 1362

nurse is reviewing the laboratory results of an assigned client; it is a priority for the nurse to follow up with the PCP if the client

D. had a AAA repair 2 days ago and has a creatinine that has increased from 0.9 to 2.5mg/dI normal creatinine 0.5-1.2

The nurse is caring for a client who has been hospitalized for 8 days with AKI caused by dehydration which of the following should the nurse report immediately to the PCP

B. a rhythm strip reading that has tall, peaked T waves

nurse is caring for a client who is receiving gentamicin IV for infection and has developed oliguria (low urine output)and increased blood pressure. Which of the following actions should the nurse take first

obtain a prescription for gentamicin peak and trough levels

The nurse is caring for a client with CKD, the client is reporting muscle weakness diarrhea, and tingling in the hands. Which action should the nurse take first

check the client's most recent serum electrolyte levels obtain a blood specimen for ABG's

The nurse is talking with a client who has CKD and has been receiving hemodialysis 3x week. Which of the following client statements is a priority follow-up by the nurse

incorrect I try and limit my intake of dietary sodium to 5g a day correct - I have noticed that my skin looks like it has a layer of frost on it - I have noticed that my breath has developed a very unpleasant odor - I will make sure that I consume at least 50g of protein every day

The nurse is teaching a client who is in the late stage of CKD. Which of the following client statements indicates a correct understanding of the teaching

if I develop and fatigue or weakness I should report it to my doctor

The nurse is caring for a client who has returned from receiving hemodialysis treatment. It requires immediate follow up by the nurse if the client has

developed a bp of 90/58mmhg

The nurses came for assigned client. Which of the following actions should the nurse take

place mask on the client when changing the client peritoneal dialysis catheter dressing

10. The nurse preceptor is observing a newly hired nurse care for a client who is receiving peritoneal dialysis. It indicates correct technique if the newly hired nurse is observed

obtaining a prescription to give the client an enema prior to beginning dialysis repositioning the client to High Fowler's during dialysis to improve dialysate drainage

The nurse is assessing a newly admitted client who has acute pancreatitis. Which of the following should the nurse expect to assess

left shoulder pain back pain

The nurse is reviewing lab results of a client who had acute pancreatitis. Which results from the box below should the nurse expect to find in the client

2. an increased amylase level of 215 3. a WBC of 15mm

The nurse working on the med surg unit is caring for assigned clients. The nurse should first plan to assess a client who has

C. acute pancreatitis and has developed restlessness E. acute pancreatitis and has a pulse of 126 with a bp of 98/54mmhg

The nurse has provided discharge teaching to a client who has chronic pancreatitis. Which of the following client statements indicates a correct understanding of the teaching

D. I should take my prescribed pancreatic enzymes with meals E. I will avoid eating foods that are high in fat

The nurse is developing a POC for a client who has cirrhosis and is scheduled to have a paracentesis performed. Which of the following should the nurse include in the POC

position the client with the HOB elevated

The nurse is providing discharge instructions for a client with cirrhosis. Which of the following statements best indicates that the client has understood the teaching

B. I should avoid constipation to decrease my risk of bleeding

The nurse has received handoff report for the following assigned clients. Which client should the nurse see first

55yr old who has cirrhosis of the liver and has tachypneic (fast breathing)

The nurse is caring for a client who has cirrhosis and has been prescribed lactulose. It would indicate that the client is having an expected outcome from his medication if the client experiences a decrease in

the ammonia level

The nurse is caring for assigned clients. The nurse should first plan to assess the client who has

pancreatitis and has had a temperature of 101. 1F for the past hr

The nurse working in a cardiac unit is admitting a client who has unstable angina (chest pain). Which of the following actions should the nurse take

administer 02 via NC

The nurse is caring for a client who has cirrhosis and is having a paracentesis performed. Which of the following should the nurse take following the procedure

place an adhesive bandage to the paracentesis site

The nurse is caring for a client who has nephrotic syndrome with severe proteinuria. Which of the following actions is appropriate for the nurse to take

[providing an NS bolus

NUR 170 exam 4

V Farris · 50問 · 2年前

NUR 170 exam 4