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Lewis Med-Surg Ch. 46 Acute Kidney Injury and CKD Exam Practice Questions and Answers $12.49   Add to cart

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Lewis Med-Surg Ch. 46 Acute Kidney Injury and CKD Exam Practice Questions and Answers

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  • Lewis Medical-Surgical Nursing
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  • Lewis Medical-Surgical Nursing

Lewis Med-Surg Ch. 46 Acute Kidney Injury and CKD Exam Practice Questions and Answers After the insertion of an arteriovenous graft (AVG) in the right forearm, a patient complains of pain and coldness of the right fingers. Which action should the nurse take? a. Teach the patient about normal A...

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  • October 23, 2024
  • 34
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Lewis Medical-Surgical Nursing
  • Lewis Medical-Surgical Nursing
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GraceAmelia
©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




Lewis Med-Surg Ch. 46 Acute Kidney
Injury and CKD Exam Practice
Questions and Answers

After the insertion of an arteriovenous graft (AVG) in the right forearm, a patient complains


of pain and coldness of the right fingers. Which action should the nurse take?


a. Teach the patient about normal AVG function.


b. Remind the patient to take a daily low-dose aspirin tablet.


c. Report the patient's symptoms to the health care provider.


d. Elevate the patient's arm on pillows to above the heart level. - Ans:✔✔-ANS: C


The patient's complaints suggest the development of distal ischemia (steal syndrome) and


may require revision of the AVG. Elevation of 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.

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FIRST PUBLISH OCTOBER 2024




DIF: Cognitive Level: Apply (application) REF: 1088


TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity


When a patient with acute kidney injury (AKI) has an arterial blood pH of 7.30, the nurse will


expect an assessment finding of


a. persistent skin tenting


b. rapid, deep respirations.


c. hot, flushed face and neck.


d. bounding peripheral pulses. - Ans:✔✔-ANS: B


Patients with metabolic acidosis caused by AKI may have Kussmaul respirations as the lungs


try to regulate 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) REF: 1072


TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity




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FIRST PUBLISH OCTOBER 2024




The nurse is planning care for a patient with severe heart failure who has developed elevated


blood urea nitrogen (BUN) and creatinine levels. The primary treatment goal in the plan will


be


a. augmenting fluid volume. .


b. maintaining cardiac output.


c. diluting nephrotoxic substances


d. preventing systemic hypertension. - Ans:✔✔-ANS: B


The primary goal of treatment for acute kidney injury (AKI) is to eliminate the cause and


provide supportive care while the kidneys recover. Because this patient's heart failure is


causing AKI, the care will be directed toward treatment of the heart failure. For renal failure


caused by hypertension, hypovolemia, or nephrotoxins, the other responses would be correct.


DIF: Cognitive Level: Apply (application) REF: 1073


TOP: Nursing Process: Planning MSC: NCLEX: Physiological Integrity


A patient who has acute glomerulonephritis is hospitalized with hyperkalemia. Which




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, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




information will the nurse monitor to evaluate the effectiveness of the prescribed calcium


gluconate IV?


a. Urine volume


b. Calcium level


c. Cardiac rhythm


d. Neurologic status - Ans:✔✔-ANS: C


The calcium gluconate helps prevent dysrhythmias that might be caused by the hyperkalemia.


The nurse will monitor the other data as well, but these will not be helpful in determining the


effectiveness of the calcium gluconate.


DIF: Cognitive Level: Apply (application) REF: 1073


TOP: Nursing Process: Evaluation MSC: NCLEX: Physiological Integrity


Which statement by a patient with stage 5 chronic kidney disease (CKD) indicates that the


nurse's teaching about management of CKD has been effective?


a. "I need to get most of my protein from low-fat dairy products."




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