A nurse is caring for a patient with chronic renal failure. The laboratory results indicate
hypocalcemia and hyperphosphatemia. When assessing the patient, the nurse should
be alert for which of the following? SELECT ALL THAT APPLY.
A.Trousseau's sign
B.Cardiac arrhythmia
C.Constipation
D.Decreased clotting time
E.Drowsiness and lethargy
F.Fractures
A patient with CKD has a nursing diagnosis of disturbed sensory perception related to
central nervous system changes induced by uremic toxins. An appropriate nursing
intervention for this problem is to
A.Convey a caring attitude and foster the nurse-patient relationship.
B.Keep the patient on bed rest to avoid possible falls or other injuries.
C.Ensure restricted protein intake to prevent nitrogenous product accumulation.
D.Provide an opportunity for the patient to discuss concerns about the condition.
Give this one a try later!
C.Ensure restricted protein intake to prevent nitrogenous product
accumulation.
When monitoring initial fluid replacement for the patient with 40% TBSA deep partial-
thickness and full-thickness burns, which of the following findings is of most concern
to the nurse?
A.Urine output of 35 mL/hr
B.Serum K+ of 4.5 mEq/L
C.Decreased bowel sounds
D.Blood pressure of 86/72 mm Hg
Give this one a try later!
, D. Blood pressure of 86/72
A patient admitted with severe dehydration has a urine output of 380 ml over the next
24 hours and elevated blood urea nitrogen (BUN) and creatinine levels. A finding that
the nurse would expect when reviewing the patient's urinalysis is
A.Proteinuria
B.Bacteriuria
C.High specific gravity
D.Tubular casts
Give this one a try later!
C. High Specific Gravity
The nurse is assessing the motor function of an unconscious client. The nurse should
plan to use which technique to test the client's peripheral response to pain?
A. Sternal rub
B. Nail bed pressure
C. Pressure on the orbital rim
D. Squeezing of the sternocleidomastoid muscle
Give this one a try later!
B. Nail Bed Pressure
A patient with chronic kidney disease returns to the nursing unit following a
hemodialysis treatment. On assessment, the nurse notes that patient's temperature is
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