NUR 2310 Final Exam Q&A
1. A Nurse is panning care for a client who has prerenal acute kidney injury (AKI) Following abdominal aortic aneurysm repair.
... [Show More] Urinary output is 60mL in the past 2hr and blood pressure is 92/58mm Hg. The nurse should expect which of the following interventions?
Prepare to administer a challenge
2. A Nurse is assessing a client who has prerenal acute kidney injury (AKI) which of the following findings should the nurse expect? Select all that apply
Elevated creatinine/ reduced urine output
3. In providing an educational in-service to the nursing staff about peritoneal dialysis, which information does the nurse include in this presentation? The peritoneum acts as a semipermeable membrane through which wastes move by diffusion and osmosis.
4. Which statement by the family member of a client who has a Sengstaken- Blakemore tube placed to threat complications of liver disease indicates understanding of this treatment modality?
The tube provides compression to stop esophageal bleeding
5. A client with chronic kidney disease is experiencing manifestations of anemia. Based on this date, which statement does the nurse anticipate for this client?
Administer erythropoietin (epoetin) injections
6. The nurse is assessing a client in the ER with the following signs and symptoms; painful mid-epigastric pain felt in the back, elevated glucose, fever, and vomiting. During the head-to-toe assessment, you notice bluish discoloration around the umbilicus. The RN recognizes this as which sign? Cullen’s sign
7. The nurse is caring for a client receiving hourly peritoneal dialysis exchanges. During a one-hour exchange, the nurse infuses 2,000mL of dialysate and 1,900 mL of outflow is returned. During the exchange, the client drinks 8oz of apple juice, 2 cups of water and voids 150mL of urine. Calculate and record the client’s intake in millimeters and use numerical values only.
820
8. On which scientific rationale should a nurse base the response when a client asks, what does an elevated PSA test mean?
An elevated PSA can result from several different causes
9. A client had a transurethral resection of the prostate (TURP) with continuous bladder irrigation yesterday. The staff nurse notes that the
urinary drainage is bright red and thick with clots. What is the nurse’s best action?
Increase the rate of the bladder irrigation
10. A client with cholecystitis is placed on a low-fat, high-protein diet. Which nutrient should the nurse teach the client to include in this diet? Skim Milk
11. Which assessment data indicate to the nurse that the client may be experiencing decreased clotting factors as a complication of cirrhosis? Epistaxis
12. Discharge planning for a client with chronic pancreatitis includes dietary teaching. Which statement indicates to the nurse that the client needs more teaching?
I can eat foods high in fat now that acute stage is over
13. A nurse is caring for a client who develops disequilibrium syndrome after receiving hemodialysis. Which of the following actions should the nurse take? Assess level of consciousness
14. Which of the following findings should a nurse expect in a client with end-stage kidney disease? Select all that apply
Anuria/ Marked azotemia/ crackles in the lungs/ proteinuria
15. In administering lactulose to the client with hepatic encephalopathy, the nurse correlates effectiveness of this medication to which mechanism of action?
Decrease production of ammonia
16. A client with an acute attack of cholecystitis has a cholecystectomy with a choledochostomy. The client returns from surgery with a T-tube connected to a drainage bag. What does the nurse conclude in the purpose of the T-tube?
Permit drainage of bile
17. A client has an IV of D5W 250mL to which 100mg of morphine is added. The healthcare provider prescribes 14mg of morphine per hour for end of life palliative treatment of a client with liver failure. At how many mL per hour should the nurse set the infusion pump? Round to the nearest whole number and use numerical values only.
35
18. The nurse is planning education for an adolescent client recentl [Show Less]