Urinary System Disorders | NCLEX Quiz 119
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- 1.What is the primary disadvantage of using peritoneal dialysis for long-term management of chronic renal failure?
- A.
The danger of hemorrhage is high.
- B.
It cannot correct severe imbalances.
- C.
It is a time consuming method of treatment.
- D.
The risk of contracting hepatitis is high.
- 2.The dialysis solution is warmed before use in peritoneal dialysis primarily to:
- A.
Encourage the removal of serum urea.
- B.
Force potassium back into the cells.
- C.
Add extra warmth into the body.
- D.
Promote abdominal muscle relaxation.
- 3.During the client’s dialysis. the nurse observes that the solution draining from the abdomen is consistently blood tinged. The client has a permanent peritoneal catheter in place. Which interpretation of this observation would be correct?
- A.
Bleeding is expected with a permanent peritoneal catheter
- B.
Bleeding indicates abdominal blood vessel damage
- C.
Bleeding can indicate kidney damage.
- D.
Bleeding is caused by too-rapid infusion of the dialysate.
- 4.Which of the following nursing interventions should be included in the client’s care plan during dialysis therapy?
- A.
Limit the client’s visitors
- B.
Monitor the client’s blood pressure
- C.
Pad the side rails of the bed
- D.
Keep the client NPO.
- 5.Aluminum hydroxide gel (Amphojel) is prescribed for the client with chronic renal failure to take at home. What is the purpose of giving this drug to a client with chronic renal failure?
- A.
To relieve the pain of gastric hyperacidity
- B.
To prevent Curling’s stress ulcers
- C.
To bind phosphorus in the intestine
- D.
To reverse metabolic acidosis.
- 6.The nurse teaches the client with chronic renal failure when to take the aluminum hydroxide gel. Which of the following statements would indicate that the client understands the teaching?
- A.
“I’ll take it every four (4) hours around the clock.”
- B.
“I’ll take it between meals and at bedtime.”
- C.
“I’ll take it when I have a sour stomach.”
- D.
“I’ll take it with meals and bedtime snacks.”
- 7.The client with chronic renal failure tells the nurse he takes magnesium hydroxide (milk of magnesia) at home for constipation. The nurse suggests that the client switch to psyllium hydrophilic mucilloid (Metamucil) because:
- A.
MOM can cause magnesium toxicity
- B.
MOM is too harsh on the bowel
- C.
Metamucil is more palatable
- D.
MOM is high in sodium
- 8.In planning teaching strategies for the client with chronic renal failure. the nurse must keep in mind the neurologic impact of uremia. Which teaching strategy would be most appropriate?
- A.
Providing all needed teaching in one extended session.
- B.
Validating frequently the client’s understanding of the material.
- C.
Conducting a one-on-one session with the client.
- D.
Using videotapes to reinforce the material as needed.
- 9.The nurse helps the client with chronic renal failure develop a home diet plan with the goal of helping the client maintain adequate nutritional intake. Which of the following diets would be most appropriate for a client with chronic renal failure?
- A.
High carbohydrate. high protein
- B.
High calcium. high potassium. high protein
- C.
Low protein. low sodium. low potassium
- D.
Low protein. high potassium
- 10.A client with chronic renal failure has asked to be evaluated for a home continuous ambulatory peritoneal dialysis (CAPD) program. The nurse should explain that the major advantage of this approach is that it:
- A.
Is relatively low in cost
- B.
Allows the client to be more independent
- C.
Is faster and more efficient than standard peritoneal dialysis
- D.
Has fewer potential complications than standard peritoneal dialysis
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