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NUR 3805 FINAL TEST QUESTIONS (1) COMPLETE SOLUTION
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NUR 3805 FINAL TEST QUESTIONS (1) COMPLETE SOLUTION
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1. A Nurse is panning care for a client who has prerenal acute kidney injury(AKI) Following abdominal aortic aneurysm repair. 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 syndromeafter
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 withend-
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 cholecystectomywith 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 nearestwhole
number and use numerical values only.
35
18. The nurse is planning education for an adolescent client recently
diagnosed with hepatitis. The client moved back to the parent’s home.
, Which recommendation to the parents will best prevent them from
acquiring hepatitis B (HBV)?
Obtaining postexposure prophylaxis
19. The RN caring for a client with acute pancreatitis receives the following
orders. “Administer 100mL/kg of body weight over 24hrs” theclient
weighs 80kg. What is the hourly rate the RN should place in the
infusion pump. (Round to the nearest whole number and use numerical
values only)
333
20. The 75-year-old client has undergone an open cholecystectomy for
cholelithiasis 2 days ago and has a t-tube drain in place. Which
intervention should the nurse delegate to the unlicensed assistive
personnel (UAP)?
Take and record the client’s vital signs/ empty the client’s foley catheter
bag at the end of the shift/ assist the client to ambulate in the hallway
three to four times a day.
21. Which assessment data collected by the nurse after a liver biopsy
requires the nurse to immediately notify the healthcare provider?
The client’s blood pressure is 80/50mm Hg.
22. A nurse is monitoring a client post kidney biopsy for postoperative
complications. Which of the following complications should the nurse
identify as causing the greatest risk to the client?
Hemorrhage
23. Which statement made by the client diagnosed with benign prostatic
hyperplasia (BPH) indicates the need for further teaching aboutthis
disease process?
An elevated PSA level indicates that I have prostate cancer
24. The nurse is providing information about hepatitis to a high school health
occupations class. The students all volunteer examples of how hepatitis is
transmitted. Which statement by of the students indicates theneed for
further teaching about hepatitis transmission?
Mosquito or tick bite
25. Which of the following is the most appropriate therapeutic diet for a client
diagnosed with acute renal failure?
A high-carbohydrate and protein-restricted diet.
26. A client is to receive 2000mL of intravenous IV fluid in 12 hrs. At what
rate should the nurse set the infusion pump? Round to the nearest
whole #.
167
, 27. While administering peritoneal dialysis to a client with acute kidneyinjury
the nurse notes the presence of cloudy dialysis return. After notifying the
healthcare provider the nurse anticipates which order? Culture the
dialysate return
28. A client is to receive an intravenous (IV) antibiotic in 50mL of 0.9%
sodium chloride to be administered over 20min. at what rate should the
nurse set the infusion pump?
150
29. Which nursing task is most appropriate for the RN to delegate to the
unlicensed assistive personnel (UAP)?
Assist the client with pruritus to the bathroom for a shower and a.m. care
30. Which statement by the client diagnosed with chronic pancreatitis
indicate understanding of this disease process?
I will avoid coffee and caffeine
31. Which client laboratory data should the nurse report to the HCP
immediately?
The elevated gamma glutamyl transferase report on a client with hepatitis
32. The nurse correlates which diagnostic results to the client diagnosed with
advanced cirrhosis?
Serum albumin 3.0mg/dL/ serum magnesium 1.2mg/dL/ serum sodium
130mEq/L
33. What will the nurse do to assess a client’s response to ongoingserum
albumin therapy for cirrhosis of the liver?
Obtain the client’s weight at least once every day
34. The client is one (1) day postoperative TURP. Which task would be
appropriate for the nurse to delegate the UAP?
Elevate the scrotum on a towel roll for support
35. The nurse correlates the metabolic alkalosis in the client diagnosedwith
hepatic encephalopathy to which potential causes? SATA
Diarrhea/ diuretic therapy/ vomiting
36. A client’s potassium level is confirmed at 6.2 mmol/L. which of the
following emergency intervention should the nurse be prepared to
initiate?
Start cardiopulmonary resuscitation
37. The client is diagnosed with liver failure is experiencing pruritus
secondary to severe jaundice and is scratching the upper extremities.
Which intervention should the nurse implement first?
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