NSG 219 Chapter 51 Review Questions and Correct Answers
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Course
NURS 219
Institution
NURS 219
The home care nurse visits a patient receiving peritoneal dialysis. Which statement by the patient indicates a need for immediate follow-up by the nurse?
A. "Drain time is faster if I rub my abdomen." B. "The fluid draining from the catheter is cloudy." C. "The drainage is bloody when I have my pe...
NSG 219 Chapter 51 Review Questions
and Correct Answers
The home care nurse visits a patient receiving peritoneal dialysis. Which statement by
the patient indicates a need for immediate follow-up by the nurse?
A. "Drain time is faster if I rub my abdomen."
B. "The fluid draining from the catheter is cloudy."
C. "The drainage is bloody when I have my period."
D. "I wash around the catheter with soap and water."✅B. "The fluid draining from the
catheter is cloudy."
The nurse is caring for a patient who is in the oliguric phase of acute kidney disease.
Which action would be appropriate to include in the plan of care?
A. Provide foods high in potassium.
B. Restrict fluids based on urine output.
C. Monitor output from peritoneal dialysis.
D. Offer high-protein snacks between meals.✅B. Restrict fluids based on urine output
Which findings will the nurse expect when caring for a patient with chronic kidney
disease (CKD)? (Select all that apply.)
A. Anemia
B. Dehydration
C. Hypertension
D. Hypercalcemia
E. Increased fracture risk
F. Elevated white blood cells✅A. Anemia
C. Hypertension
E. Increased fracture risk
Which patient diagnosis or treatment is most consistent with prerenal acute kidney
injury (AKI)?
A. IV tobramycin
B. Incompatible blood transfusion
C. Poststreptococcal glomerulonephritis
D. Dissecting abdominal aortic aneurysm✅D. Dissecting abdominal aortic aneurysm
Which patient has the most significant risk factors for chronic kidney disease (CKD)?
A. A 50-yr-old white woman with hypertension
, B. A 61-yr-old Native American man with diabetes
C. A 28-yr-old black woman with a urinary tract infection
D. A 40-yr-old Hispanic woman with cardiovascular disease✅B. A 61-yr-old Native
American man with diabetes
When caring for a patient during the oliguric phase of acute kidney injury (AKI), which
nursing action is appropriate?
A. Weigh patient three times weekly.
B. Increase dietary sodium and potassium.
C. Provide a low-protein, high-carbohydrate diet.
D. Restrict fluids according to previous daily loss.✅D. Restrict fluids according to
previous daily loss.
The nurse preparing to give a dose of calcium acetate to a patient with chronic kidney
disease (CKD). Which laboratory result will the nurse monitor to determine if the desired
effect was achieved?
A. Sodium
B. Potassium
C. Magnesium
D. Phosphorus✅D. Phosphorus
*Phosphorus and calcium have inverse or reciprocal relationships
The patient has rapidly progressing glomerular inflammation. Weight has increased and
urine output is steadily declining. What is the priority nursing intervention?
A. Monitor the patient's cardiac status.
B. Teach the patient about hand washing.
C. Obtain a serum specimen for electrolytes.
D. Increase direct observation of the patient.✅A. Monitor the patient's cardiac status
A patient with a 25-year history of type 1 diabetes is reporting fatigue, edema, and an
irregular heartbeat. On assessment, the nurse notes newly developed hypertension and
uncontrolled blood glucose levels. Which diagnostic study is most indicative of chronic
kidney disease (CKD)?
A. Serum creatinine
B. Serum potassium
C. Microalbuminuria
D. Calculated glomerular filtration rate (GFR)✅D. Calculated glomerular filtration rate
(GFR)
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