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Lewis's Medical Surgical Nursing 11th Edition Harding Test Bank A+ Guaranteed
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Lewis's Medical Surgical Nursing 11th Edition Harding Test Bank A+ Guaranteed
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LEWIS'S MEDICAL SURGICAL NURSING 11THEDITION HARDING TEST BANK
After the insertion of an arteriovenous graft in the right forearm, a patient reports pain
and
Coldness of the right fingers. Which action should the nurse take?
A. Remind the patient to take a daily low-dose aspirin tablet.
B. Report the patient's symptoms to the health care provider.
C. Elevate the patient's arm on pillows above the heart level.
D. Teach the patient about normal arteriovenous graft function. - answers -ans: b
The patient's problems suggest the development of distal ischemia (steal syndrome)
and may
Require revision of the avg. Elevating the arm above the heart will further decrease
Perfusion. Pain and coolness are not normal after avg insertion. Aspirin therapy is not
used
To maintain grafts.
Dif: cognitive level: apply (application)
Top: nursing process: implementation msc: nclex: physiological integrity
Which assessment finding should the nurse expect when a patient with acute kidney
injury
(aki) has an arterial blood ph of 7.30?
A. Persistent skin tenting
B. Rapid, deep respirations
C. Hot, flushed face and neck
D. Bounding peripheral pulses - answers -ans: b
Patients with metabolic acidosis caused by aki may have kussmaul respirations to
eliminate
Carbon dioxide. Bounding pulses and vasodilation are not associated with metabolic
acidosis.
Because the patient is likely to have fluid retention, poor skin turgor would not be a
finding in
Aki.
Dif: cognitive level: apply (application)
Top: nursing process: assessment msc: nclex: physiological integrity
Which menu choice by the patient who is receiving hemodialysis indicates that the
nurse's
Teaching has been successful?
A. Split-pea soup, english muffin, and nonfat milk
B. Poached eggs, whole-wheat toast, and apple juice
C. Oatmeal with cream, half a banana, and herbal tea
D. Cheese sandwich, tomato soup, and cranberry juice - answers -ans: b
, Poached eggs would provide high-quality protein, and apple juice is low in potassium.
Cheese
Is high in salt and phosphate, and tomato soup is high in potassium. Split-pea soup is
high in
Potassium, and dairy products are high in phosphate. Bananas are high in potassium,
and
Cream is high in phosphate.
Dif: cognitive level: apply (application) top: nursing process: evaluation
Msc: nclex: physiological integrity
Which laboratory result should the nurse check before administering calcium carbonate
to a
Patient with chronic kidney disease?
A. Serum potassium
B. Serum phosphate
C. Serum creatinine
D. Serum cholesterol - answers -ans: b
If serum phosphate is increased, the calcium and phosphate can cause soft tissue
calcification.
Calcium carbonate should not be given until the phosphate level is lowered. Total
cholesterol,
Creatinine, and potassium values do not affect whether calcium carbonate should be
Administered.
Dif: cognitive level: apply (application)
Top: nursing process: implementation msc: nclex: physiological integrity
A patient is hospitalized with acute kidney injury (aki). Which information will be most
Useful to the nurse in evaluating improvement in kidney function?
A. Urine volume
B. Creatinine level
C. Glomerular filtration rate (gfr)
D. Blood urea nitrogen (bun) level - answers -ans: c
Gfr is the preferred method for evaluating kidney function. Bun levels can fluctuate
based
On factors such as fluid volume status and protein intake. Urine output can be normal or
high
In patients with aki and does not accurately reflect kidney function. Creatinine alone is
not
An accurate reflection of renal function.
Dif: cognitive level: analyze (analysis) top: nursing process: evaluation
Msc: nclex: physiological integrity
A patient will need vascular access for hemodialysis. Which statement by the nurse
accurately
Describes an advantage of a fistula over a graft?
A. A fistula is much less likely to clot.
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