AKI/CKD Quiz Which complication may be present

AKI/CKD Quiz Which complication may be present in a client hospitalized with end-stage kidney disease? anemia hypoglycemia jaundice shortness of breath Which statement regarding kidney ultrasound is correct? “Kidney ultrasonography is performed on an empty bladder.” “Kidney ultrasonography primarily makes use of iodinated contrast dye.” “Kidney ultrasonography makes use of sound waves and has minimal risk.” “Kidney ultrasonography provides three-dimensional information regarding kidneys.” Which abnormal finding would be a priority for a client who is in the oliguric phase of acute kidney injury? Hypernatremia Hypophosphatemia Hyperkalemia Hypocalcemia Which process is a function of the kidney hormones? Bradykinin regulates intrarenal blood flow via vasodilation or vasoconstriction Erythropoietin promotes calcium absorption in the gastrointestinal tract. Prostaglandin increases blood flow and vascular permeability Renin raises the blood pressure because of angiotensin and aldosterone secretion Which laboratory value would the nurse monitor when determining whether a client’s newly transplanted kidney works effectively? Renal ultrasound Serum potassium 24 hour urine output Serum creatinine Which patient education would be a priority in a client with a recent kidney transplant? Prepare for a second kidney transplant 6 months after the first Maintain fluid restrictions Recognize the signs of a urinary tract infection Restrict sodium intake Which symptom is indicative of the need for dialysis in the child with chronic kidney disease? Hypokalemia Hypotension Hypercalcemia Hypervolemia Which part of the renal system does furosemide exerts its effects? Glomerulus Collecting ducts Distal convoluted tubule Loop of Henle A nurse is preparing a client with a suspected stroke for cerebral imaging with contrast.Which priority action is required? Hold all ACE inhibitor medications until immediately after the imaging. Ensure a recent creatinine level has been assessed. Decrease fluid intake the night before the imaging. Cancel imaging if a sensitivity to iodine is noted. Which assessment finding in a hospitalized client with a history of chronic kidney disease would lead the nurse to suspect worsening kidney function? Edema and pruritus Dribbling after voiding Facial flushing Diminished force of urination Which statement explains the amount of prescribed fluid for a client admitted in the oliguric phase of acute kidney injury? The client’s measured urine output was 200 mls over 24 hours and the provider order is for 900mls of total intake for 24 hours. The fluid prevents the development of pneumonia and a high fever. The fluid equals the expected urine output for the next 24 hours The fluid compensates for insensible fluid loss and the urinary output The fluid reduces hyperkalemia, which can lead to life threatening cardiac dysrhythmias. Which diagnosis would the nurse suspect when caring for a client with acute kidney injury who complains of tingling of the extremities and tetany in the arm when the blood pressure cuff cycles? build up of lactic acid retention of potassium loss of sodium Calcium depletion A client is admitted for sepsis and acute kidney injury. 10 days after their admission they progress into the diuretic phase of AKI. During this phase, which clinical indicators would the nurse be alert for? Hypovolemia Hyperkalemia Metabolic acidosis Skin rash Which action would the nurse take after receving a critical lab of a potassium level of 6.2 mEq on a client with acute kidney injury? Send a repeat potassium level for verification. Call the rapid response team Administer the ordered antiarrhythmic medication Notify the healthcare provider Which integumentary assessment findings may be present in a client with a serum creatinine value of 7.4 mg/dL and a blood urea nitrogen value of 245 mg/dL? Cyanosis and diaphoresis Hyperpigmentation of the hands and feet Pruritus and clubbing Pruritus and uremic frost Which primary intervention is used to treat anemia secondary to chronic kidney disease? Erythropoietin Antidiuretic hormone Interleukin-2 Blood transfusion Why should a client with chronic kidney disease avoid all salt substitutes? Salt substitutes contain potassium, which must be limited to prevent abnormal heartbeats Limiting salt substitutes in the diet prevents the buildup of waste products in the blood. A person’s body tends to retain fluid when a salt substitute is used. The salt substitute substances interfere with capillary membrane transfer, resulting in anasarca. Which instruction would the nurse give to a client with renal calculi? “Drink plenty of water.” “Consume foods rich in omega-3 fatty acids.” “Tea is a good substitute for coffee.” “Make sure you get a lot of spinach in your diet.” Which assessment finding would the nurse recognize as indicating improvement in a 4-year-old child being treated for nephrotic syndrome? The child gains weight The child’s hemoglobin and hematocrit increase Urine specific gravity decreases Urine specific gravity increases Which mechanism of action explains how diuretics reduce blood pressure? They reduce the circulating blood volume They block the sympathetic nervous system They promote smooth muscle relaxation They facilitate vasodilation

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