SOLVED

 Question 11 A patient in the intensive care unit is receiving continuous venovenous hemofiltration for acute kidney injury. In order for the nurse to successfully provide the treatment for the patient, what needs to occur? 1. Infusion of a dialysate through the hemofilter 2. Creation of a fistula 3. Connection to a small pump 4. Successful placement of the catheter in an artery and a vein Question 12 A patient with an acute kidney injury is experiencing fluid volume overload. When administering furosemide (Lasix) therapy to this patient, the nurse should set the continuous infusion device in which manner? 1. According to a calculation based upon the patient’s weight 2. According to a calculation based upon the patient’s potassium and sodium levels 3. At no more than 20 mg/minute 4. At a rate of 4 mg/minute Question 13 A patient with acute kidney injury is receiving renal replacement therapy. Which assessment finding would the nurse evaluate as best indicating this therapy is having its desired effects? 1. The patient had a soft formed stool this morning. 2. The patient’s lung sounds have improved. 3. The patient slept for 2 hours without awakening. 4. The patient’s serum protein level is normal. Question 14 A patient diagnosed with kidney injury is on fluid restriction. Which nursing interventions should the nurse add to the patient’s plan of care? 1. Provide all fluid in the form of ice chips. 2. Provide frequent oral care. 3. Allow the patient to decide when the fluid will be ingested. 4. Provide fluids only when the patient complains of thirst. 5. Consider the amount of fluids that can be provided over a shift. Question 15 A patient with an acute kidney injury is identified as being at risk for infection. Which nursing interventions are indicated? 1. Turn and reposition when necessary. 2. Avoid manipulation of venous access devices. 3. Post signs to remind visitors and staff to wash their hands. 4. Limit the use of antibiotic therapy. 5. Remove invasive devices as soon as medically possible. Question 16 The nurse is assessing the neurological status of a patient with chronic renal failure. Which finding would the nurse attribute to chronic renal failure? 1. Numbness and pain of the lower extremities 2. Expressive aphasia 3. Flaccid paralysis on the left side 4. Weak hand grasps Question 17 A patient with chronic renal failure is diagnosed with anemia. The nurse anticipates providing which therapy for this patient? 1. Vitamin B12 injections 2. Routine whole blood transfusions 3. Recombinant erythropoietin supplementation 4. Protein restriction Question 18 A patient with chronic renal failure and a blood pressure of 158/98 mm Hg refuses to take medication for the blood pressure. What information should the nurse provide for this patient? 1. “One of the problems associated with high blood pressure in people with renal failure is the development of heart failure.” 2. “Some people with chronic renal failure and high blood pressure end up with an infection around their heart.” 3. “You must realize that untreated hypertension may cause you to develop pneumonia.” 4. “There is a significant increase in risk for anemia if hypertension is not treated.” Question 19 The nurse is assessing the integumentary system of a patient with chronic renal failure. Which findings would the nurse associate with this disease history? 1. Flushed, ruddy color 2. Yellow-brown hue 3. Areas of excoriation 4. Moist, clammy skin 5. Rubbery consistency Question 20 A patient’s potassium level is 6.5 mEq/L. The nurse would prepare for which intervention? 1. Administration of intravenous fluids supplemented with 40 mEq of potassium in each liter of fluid 2. Administration of oral potassium 2 or 3 times daily until levels are normal 3. Administration of Kayexalate by rectum 4. Administration of a D50W bolus