Tiêu đề WORKBOOK - RENAL FABS (KEY) ✅

15. A client has just received a renal transplant and has started cyclosporine therapy to prevent graft rejection. Which of the following conditions is a major complication of this drug therapy? A. Depression B. Hemorrhage C. Infection D. Peptic ulcer disease 16. A client received a kidney transplant 2 months ago. He’s admitted to the hospital with the diagnosis of acute rejection. Which of the following assessment findings would be expected? A. Hypotension B. Normal body temperature C. Decreased WBC counts D. Elevated BUN and creatinine levels 17. A client is diagnosed with chronic renal failure and told she must start hemodialysis. Client teaching would include which of the following instructions? A. Follow a high- potassium diet B. Strictly follow the hemodialysis schedule C. There will be few changes in your lifestyle D. Use alcohol on the skin to clean it due to integumentary changes 18. A client is to undergo kidney transplantation with a living donor. Which of the following preoperative assessments is important? A. Urine output B. Signs of graft rejection C. Signs and symptoms of infection D. Client’s support system and understanding of lifestyle changes 19. A client with receiving hemodialysis treatment arrives at the hospital with a blood pressure of 200/100mmHg, heart rate of 110 beats/ minute, and a respiratory rate of 36 breaths/ minute. Oxygen saturation in room air is 89%. He complains of shortness of breath, and +2 pedal edema is noted. His last hemodialysis treatment was yesterday. Which of the following interventions should be done first? A. Administer oxygen B. Elevate the foot of the bed C. Restrict the client fluids D. Prepare the client for hemodialysis 20. A client with renal insufficiency is admitted with a diagnosis of pneumoniA. He’s being treated with IV antibiotics, which can be nephrotoxiC. Which of the following laboratory values should be monitored closely? A. BUN and creatinine levels B. ABG levels C. Platelet count D. Potassium level 21. The client asks whether her diet would change on CAPD. Which of the following would be the nurse’s best response? A. “Diet restrictions are more rigid with CAPD because standard peritoneal dialysis is a more effective technique” B. “Diet restrictions are the same for both CAPD and standard peritoneal dialysis.” C. “Diet restrictions with CAPD are fewer than with standard peritoneal dialysis because dialysis is constant.” D. “Diet restrictions with CAPD are fewer than with standard peritoneal dialysis because CAPD works more quickly.” 22. Which of the following is the most significant sign of peritoneal infection? A. Cloudy dialysate fluid B. Swelling in the legs C. Poor drainage of the dialysate fluid D. Redness at the catheter insertion site 23. Peritonitis is a common complication of peritoneal dialysis. Which assessment finding is considered a manifestation of peritonitis? A. Cloudiness of the drained dialysate B. Slow outflow rate C. Redness of the skin around the catheter D. Difficulty breathing 24. A nurse visits a client who has undergone renal transplantation. The nurse is monitoring for signs and symptoms of acute graft rejection and plans to assess the client with signs and symptoms of: A. Hypotension, graft tenderness, and hypothermia B. Fever, hypertension, and graft tenderness C. Fever, hypertension, and polyuria D. None of the above 25. When caring for a patent who has an arteriovenous graft in the left arm, the nurse should not: A. Take all blood pressure in the right arm B. Infuse IV solution in the left arm above the graft C. Position the patient on the right side D. Instruct the patient to exercise the left arm by squeezing a small rubber ball 26. Which information best helps the nurse evaluate the effects of dialysis on a patient? A. Blood pressure and weight measurements before and after dialysis B. Daily hemoglobin and hematocrit test results C. The patient’s continuing complaint of dry mouth D. Inspection of the patient’s extremities before and after dialysis 27. You are supervising an orienting nurse who is discharging a patient admitted with kidney stones post lithotripsy. Which statement by the nurse requires that you intervene? A. “You should finish all of your antibiotics to make sure that you don’t get a urinary tract infection.” B. “Remember to drink at least 3 liters of fluids every day to prevent another stone from forming.” C. “Report any signs of bruising to your physician immediately as this indicates bleeding.” D. “You can return to work in 2 days to 6 weeks, depending on what your physician prescribes.” 28. Which discharge teaching should the nurse question in a patient with calcium renal calculi? A. Limit amount of protein in the diet B. Drink 3 to 4 liters of fluid daily C. Void every 2 to 3 hours D. Take vitamin C daily 29. A client passes a urinary stone, and laboratory analysis indicates that it is composed of calcium oxalate. On the basis of this analysis, which of the following should the nurse specifically include in the dietary instructions? A. Increase intake of chocolates B. Avoid citrus fruits and juices C. Give cranberries, and plums to the patient D. Give green leafy vegetables such as spinach 30. While taking a nursing history on a patient with benign prostatic, hypertrophy, the nurse should expect him of complain of A. Urinary incontinence B. Difficulty initiating urination C. Nocturnal polyuria D. Persistent oliguria 31. The expected outcome for a continuous bladder irrigation after a client undergoes transurethral prostatectomy is: A. Removal of blood clots B. Application of local heat C. Prevention of bladder infection D. Restoration of bladder tone 32. The nurse should advise the middle – aged man that it is recommended that the prostate be examined: TOP RANK REVIEW ACADEMY, INC. Page 2 | 7