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361- Week 13 Questions (PPt notes, Book, ATI)
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361- Week 13 Questions (PPt notes, Book, ATI)

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Questions and Answers

The nurse understands which diagnostic study is most specific in identifying PKD?

  • Abdominal x-ray
  • Serum creatinine level
  • Urinalysis
  • Computed tomography scan (correct)
  • The nurse recognizes that genetic counseling is appropriate for which patient?

  • A child with frequent urinary tract infections
  • An adult with frequent urinary tract infections
  • An adult with autosomal dominant polycystic kidney disease (correct)
  • An adult with metastatic renal cancer
  • Prior to the patient’s CT scan, which information should be obtained from the patient or family member?

  • Time of last pain medication
  • A family history of CT scans
  • Time of patient’s last meal
  • List of patient’s allergies (correct)
  • The risk factor or factors most often associated with CKD include which of the following? Select All That Apply

    A. Hypertension B. Diabetes mellitus C. Malnutrition D. Peripheral vascular disease E. Smoking

    <p>A and B</p> Signup and view all the answers

    The nurse understands that CKD is characterized by which of the following?

    <p>Progressive irreversible destruction to the kidneys</p> Signup and view all the answers

    The nurse should intervene immediately if the patient post renal transplantation is noted to have which of the following symptoms?

    <p>Fever, reduced urine output, elevated blood pressure</p> Signup and view all the answers

    The nurse should inform the physician if, when assessing the patient with an AV fistula, they note which of the following?

    <p>A loud, turbulent bruit</p> Signup and view all the answers

    Which laboratory value provides the best indication of renal function?

    <p>GFR</p> Signup and view all the answers

    Which laboratory value below would be associated with the patient experiencing dehydration?

    <p>Specific gravity 1.035</p> Signup and view all the answers

    The nurse is caring for a four-patient assignment. Which patient should the nurse see first?

    <p>The patient in AKI with tall peaked T waves on the cardiac monitor</p> Signup and view all the answers

    A nurse is planning care for a client who has prerenal acute kidney injury following abdominal aortic aneurysm repair. The client’s urinary output is 80 mL in the past 4 hr, and blood pressure is 92/58 mm Hg. Which of the following should be included in the plan of care?

    <p>Plan to administer a fluid challenge.</p> Signup and view all the answers

    A nurse is planning care for a client who has stage 4 chronic kidney disease. Which of the following should the nurse include in the plan of care? (Select all that apply.)

    A. Assess for jugular vein distention. B. Provide frequent mouth rinses. C. Auscultate for a pleural friction rub. D. Assess using the Glasgow Coma Scale. E. Monitor for dysrhythmias.

    <p>A,B,C,E</p> Signup and view all the answers

    1. A nurse is assessing a client who has prerenal acute kidney injury (AKI). Which of the following should the nurse include in the assessment? (Select all that apply.)

    A. Blood pressure B. Cardiac enzymes C. Urine output D. Serum creatinine E. Serum electrolytes

    <p>A,C,D,E</p> Signup and view all the answers

    A nurse is caring for a client who has a laboratory finding of serum potassium 5.4 mEq/L. The nurse should assess for which of the following clinical manifestations?

    <p>ECG changes</p> Signup and view all the answers

    A nurse is caring for a client who has a nasogastric tube attached to low intermittent suctioning. The nurse should monitor for which of the following electrolyte imbalances?

    <p>Hyponatremia</p> Signup and view all the answers

    A nurse is assessing a client who has hyperkalemia. Which of the following conditions is associated with this electrolyte imbalance?

    <p>Diabetic ketoacidosis</p> Signup and view all the answers

    The risk factor(s) most often associated with CKD include which of the following? (Select all that apply)

    A. HTN B. Diabetes mellitus C. Malnutrition D. Peripheral vascular disease E. Smoking

    <p>A,B</p> Signup and view all the answers

    The nurse understands that CKD is characterized by which of the following?

    <p>progressive, irreversible destruction of the kidneys</p> Signup and view all the answers

    The nurse understands that which diagnostic study is most specific in identifying PKD?

    <p>CT scan</p> Signup and view all the answers

    Study Notes

    Diagnostic Studies for Kidney Disease

    • The most specific diagnostic study for identifying PKD is not specified, but it is essential to understand the appropriate diagnostic study for each patient.

    Risk Factors for Chronic Kidney Disease (CKD)

    • The risk factors most often associated with CKD include:
      • Hypertension
      • Diabetes mellitus
      • Peripheral vascular disease
      • Smoking (not malnutrition)

    Characteristics of CKD

    • CKD is characterized by:
      • (No specific characteristic mentioned, but it is essential to understand the signs and symptoms of CKD)

    Post-Renal Transplantation Care

    • If the patient post-renal transplantation exhibits symptoms, the nurse should intervene immediately.

    Assessing AV Fistula

    • The nurse should inform the physician if they note any unusual symptoms or signs when assessing the patient with an AV fistula.

    Laboratory Values for Renal Function

    • The best laboratory value indication of renal function is not specified.
    • A laboratory value associated with dehydration is not specified, but it is essential to understand the signs and symptoms of dehydration.

    Prioritizing Patient Care

    • The nurse should prioritize patient care based on the patient's condition and needs, but the specific patient to see first is not specified.

    Care for Prerenal Acute Kidney Injury

    • The plan of care for a patient with prerenal acute kidney injury following abdominal aortic aneurysm repair should include:
      • Monitoring urinary output and blood pressure

    Care for Stage 4 Chronic Kidney Disease

    • The plan of care for a patient with stage 4 chronic kidney disease should include:
      • Assessing for jugular vein distention
      • Providing frequent mouth rinses
      • Monitoring for dysrhythmias
      • (Other options may be important, but these are the specified ones)

    Assessing Prerenal Acute Kidney Injury

    • The assessment for a patient with prerenal acute kidney injury should include:
      • Blood pressure
      • Urine output
      • Serum creatinine
      • Serum electrolytes

    Assessing Hyperkalemia

    • The nurse should assess for clinical manifestations of hyperkalemia, including:
      • Electrolyte imbalance
      • Cardiac conditions

    Monitoring for Electrolyte Imbalance

    • The nurse should monitor for electrolyte imbalances, including:
      • Hypokalemia or hyperkalemia
      • (Specific electrolyte imbalance associated with nasogastric tube attached to low intermittent suctioning)

    Hyperkalemia and Associated Conditions

    • Hyperkalemia is associated with:
      • Cardiac conditions
      • (Other conditions may be associated with hyperkalemia, but cardiac conditions are specified)

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    Description

    Test your knowledge on identifying Polycystic Kidney Disease by knowing which diagnostic study is the most specific for its detection. Learn about the different tests used in diagnosing PKD.

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