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STUVIA 2024/2025Renal EAQ
A - potassium increases with AKI because the ability to excrete it is impaired, so insulin acts by
pushing potassium back into cells
Dialysis may not be necessary for a patient with AKI, and it can improve insulin and glucose levels
but not necessary make them normal
Glucose will not restore metabolic activity
Glucose will not promote renal absorption of sodium, and insulin does not prevent hyponatremia -
✔✔Which rationale explains why IV insulin and IV glucose are prescribed for a patient with AKI?
A. To treat hyperkalemia with insulin and prevent hypoglyemia with glucose
B. To improve insulin and glucose metabolism to normal values after the patient starts dialysis
C. To prevent metabolic acidosis with insulin and restore metabolic activity with glucose
D. To promote renal absorption of sodium with glucose and prevent hyponatremia with insulin
C - giving gadolinium may cause contrast-induced nephropathy - ✔✔What would the nurse question
for a patient with DM who takes metformin and is scheduled for a diagnostic test with contrast media?
A. Administer fluids prior to the test
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B. Hold metformin for 48 hours before
C. Use contrast media gadolinium
D. Obtain blood specimens after to determine kidney function
D
The patient should be weighed once a day
A patient with AKI will have fluid excess and Na/K retention, so they should be restricted
Adequate, not low protein should be given - ✔✔The nurse will make which intervention when caring
for a patient during the oliguric phase of AKI?
A. Weight the patient three times in a week
B. Increase dietary Na and K
C. Provide low protein and high carb foods
D. Restrict fluids according to previous daily loss
D - ✔✔What amount of urinary output corresponds with nonoliguric AKI?
A. 150 mL/day
B. 250 mL/day
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C. 350 mL/day
D. 450 mL/day
C - if the medication is given to a patient with hypoactive bowel sounds, bowel necrosis can occur
The other symptoms indicate hyperkalemia and are not relevant in determining if the med should be
given - ✔✔What finding is a priority concern regarding safe administration of sodium polystyrene
sulfonate for treatment of hyperkalemia in a patient with AKI?
A. Nausea
B. Apical pulse of 55
C. Hypoactive bowel sounds
D. Patient report of palpitations
D - the graft connects the artery and vein for access for hemodialysis, when listening over the graft a
bruit should be heard which means the graft is patent
Clubbing is not a complication
Comparing pulses is not an accurate procedure - ✔✔Which intervention is needed to assess the
patency of a patients arteriovenous (AV) graft that is in the right forearm?
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A. Determine ROM in the right extremity
B. Observe for clubbing of the fingers on the right hand of the site
C. Compare radial pulses on the right and left arm
D. Check for a bruit with a stethoscope by listening over the AV graft site
D - CKD will cause decreased elimination of digoxin, antibiotics, opioids, and diabetic drugs
A: used to control hyperparathyroidism
B: Vit D supplement
C: used to reduce triglycerides and increase HDL in patients with CKD - ✔✔Which drug should be
used with caution in a patient with CKD?
A. Cinacalcet
B. Paricalcitol
C. Genfibrozil
D. Vancomycin
A, C, D - ✔✔The nurse observes for which complication in a patient receiving hemodialysis? SATA
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