HESI PN Med Surg Proctored Exam 2023 | (All Questions and Answers) | Graded A+
A nurse is reinforcing teaching with a client who is to undergo a
... [Show More] creatinine clearance
test. Which of the following information should the nurse include in the teaching? ------
Correct Answer------You will need to avoid rigorous exercise during the test time."
MY ANSWER
Exercise can cause an increase in the creatinine values. The nurse should inform the
client that he should avoid exercising during the testing time.
A nurse is caring for a client who has dyspnea, crackles, and 3+ bilateral pitting pedal
edema. Which of the following serum sodium levels should the nurse identify as an
indication of fluid volume excess? ------Correct Answer------116 mEq/L
A 116 mEq/L serum sodium level is below the expected reference range. A client who
has dyspnea, crackles, and 3+ pitting pedal edema most likely has increased free body
water excess without concurrent sodium retention. This can lead to hyponatremia.
A nurse is reviewing data for a client who has chronic kidney disease. Which of the
following data should the nurse identify as the best indicator of fluid volume status? ------
Correct Answer------Daily weight
According to evidence-based practice, the nurse should identify that the best indicator
of fluid volume status is daily weight. Weight provides the most accurate indicator of
fluid volume status.
A nurse is caring for a client who is in the oliguric phase of acute kidney injury. Which of
the following actions should the nurse take? ------Correct Answer------Monitor intake and
output hourly
A nurse is reviewing the medication record of a client who has chronic renal disease.
Which of the following medications should the nurse identify as having the potential to
cause nephrotoxicity? ------Correct Answer------Vancomycin
Vancomycin, an anti-infective, can cause nephrotoxicity.
A nurse is reviewing the laboratory reports for a client who has chronic kidney disease.
Which of the following laboratory reports should the nurse expect to find? ------Correct
Answer------BUN 35 mg/dL, serum creatinine 8 mg/dL
A client who has chronic kidney disease will have an elevation of both the BUN and
serum creatinine. The goal for a client who has chronic kidney disease is to keep the
BUN below 100 mg/dL and the creatinine below 8 mg/dL.
A nurse is reviewing the laboratory test results from a client who has acute kidney
injury. Which of the following findings should the nurse identify as expected for this
condition? ------Correct Answer------Hypermagnesemia
The nurse should expect the client to have hypermagnesemia due to the inability of the
kidneys to filter waste products from the blood.
A nurse is collecting data from a client who has a urine output of 250 mL in a 24-hr
period. Which of the following terms should the nurse use to document this finding in the
electronic record? ------Correct Answer------Oliguria [Show Less]