Tiêu đề RECALLS 7 - NP5 - SC ✅

A. Apply gentle pressure B. Call the nephrologist immediately C. Elevate the arm above the heart D. Remove the fistula needle 17. What should the nurse avoid with an AV fistula arm? A. Taking blood pressure B. Placing a tourniquet C. Drawing blood samples D. All of the above 18. Which finding in a dialysis patient suggests disequilibrium syndrome? A. Headache and confusion B. Hypotension and dizziness C. Chest pain and palpitations D. Joint pain and muscle cramps 19. Which fluid is commonly used to prime a dialysis circuit? A. Lactated Ringer’s B. 0.9% Normal saline C. Dextrose 5% in water D. 0.45% Normal saline 20. A patient on peritoneal dialysis reports severe abdominal pain during inflow. What is the best response? A. Increase dialysate flow rate B. Warm the dialysate solution C. Stop dialysis immediately D. Add extra potassium to the solution Situation: You are managing pharmacologic interventions and monitoring lab results to prevent complications of end-stage renal disease (ESRD). 21. Which medication is often given to dialysis patients to prevent anemia? A. Epoetin alfa B. Heparin C. Warfarin D. Iron dextran only 22. A patient with CKD is prescribed calcium acetate. What is its purpose? A. Lower potassium levels B. Increase iron absorption C. Bind phosphorus in the gut D. Raise serum calcium levels 23. What is the priority nursing assessment before starting hemodialysis? A. Serum amylase B. Lung sounds C. Vital signs and weight D. Pain scale 24. A patient with peritoneal dialysis has outflow less than inflow. What is the first nursing action? A. Stop the dialysis B. Turn the patient side to side C. Call the nephrologist D. Add heparin to the solution 25. What is a major complication of hemodialysis needle dislodgment? A. Infection B. Air embolism C. Severe hemorrhage D. Hypokalemia Situation: You are addressing symptoms related to chronic uremia, evaluating hemodynamic changes post-dialysis, and preventing life-threatening complications. 26. A patient on hemodialysis has severe itching (uremic pruritus). Which is the best nursing action? A. Restrict fluids B. Give antihistamines as prescribed C. Apply ice packs D. Encourage high-protein diet 27. Which finding is expected after dialysis? A. Weight gain B. Lowered blood pressure C. Hyperkalemia D. Edema increase 28. A patient on hemodialysis is ordered heparin during treatment. What is its purpose? A. Reduce blood pressure B. Prevent clotting C. Increase potassium removal D. Treat anemia 29. Which is the most serious complication of peritoneal dialysis? A. Hypotension B. Peritonitis C. Nausea D. Constipation 30. A patient undergoing dialysis develops chest pain. What should the nurse do first? A. Stop dialysis and notify the provider B. Increase fluid removal C. Encourage deep breathing D. Give antiemetics You are managing dialysis access and monitoring for vascular and metabolic complications, ensuring patient safety and access function. 31. Which drug is commonly given to control high phosphate in CKD? A. Calcium acetate B. Furosemide C. Epoetin alfa D. Sevelamer 32. Which AV fistula assessment finding should be reported immediately? A. Bruit present B. Thrill present C. Cool pale hand below the fistula D. Slight bruising around site 33. Which dialysis patient is at highest risk for hypotension during treatment? A. One who ate a large meal before dialysis B. One who is slightly hypertensive C. One who had fluid overload corrected slowly D. One who is already volume-depleted 34. Which sign indicates successful AV fistula function? A. No bruit or thrill B. Weak radial pulse C. Palpable thrill and audible bruit D. Edema around the site 35. Which action prevents peritonitis in peritoneal dialysis? A. Use of cold dialysate B. Strict hand hygiene during exchanges C. Increasing dwell time D. Avoiding daily weight checks Situation: You are assigned to monitor fluid balance and electrolyte status in dialysis clients and intervene for post-treatment complications. 36. Which symptom after dialysis indicates hypovolemia? A. Flushed skin and bounding pulse B. Dry mucous membranes and dizziness C. High blood pressure and edema D. Warm, moist skin 37. Which medication should be hold before dialysis? A. Antihypertensives B. Phosphate binders C. Vitamin D supplements D. Erythropoietin 38. Which patient statement about peritoneal dialysis needs teaching? A. “I need to keep my catheter clean and dry.” B. “If the fluid comes out cloudy, I will call the clinic.” C. “I will skip daily weight checks to save time.” D. “I should warm the solution before using it.” 39. Which lab result is expected in end-stage renal disease? A. Metabolic alkalosis B. Low BUN and creatinine C. Hyperkalemia and metabolic acidosis D. Hypophosphatemia 40. Which sign after peritoneal dialysis indicates peritonitis? A. Clear effluent and soft abdomen B. Cloudy effluent and abdominal pain C. Weight gain and hypertension D. Minimal drainage with clear fluid 2 | Page