Nursing A Haemodialysis Patient

10 Questions | Total Attempts: 1297

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Nursing A Haemodialysis Patient - Quiz

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Questions and Answers
  • 1. 
    A hemodialysis client has a newly created left arm fistula. The nurse monitors the affected extremity for which signs and symptoms that indicate a complication related to steal syndrome?
    • A. 

      Edema and purplish discoloration

    • B. 

      Aching pain, pallor, and edema

    • C. 

      Warmth, redness, and pain

    • D. 

      Pallor, diminished pulse. and pain

  • 2. 
    A patient with CKD has a low erythropoietin (EPO) level. The patient is at risk for?
    • A. 

      Hypercalcemia

    • B. 

      Anemia

    • C. 

      Blood clots

    • D. 

      Hyperkalemia

  • 3. 
    A patient with Stage 5 CKD is experiencing extreme pruritus and has several areas of crystallized white deposits on the skin. As the nurse, you know this is due to excessive amounts of what substance found in the blood?
    • A. 

      Calcium

    • B. 

      Urea

    • C. 

      Phosphate

    • D. 

      Erythropoietin

  • 4. 
    Your patient with chronic kidney disease is scheduled for dialysis in the morning. While examining the patient's telemetry strip, you note tall peaked T-waves. You notify the physician who orders a STAT basic metabolic panel (BMP). What result from the BMP confirms the EKG abnormality?
    • A. 

      Phosphate 3.2 mg/dL

    • B. 

      Calcium 9.3 mg/dL

    • C. 

      Magnesium 2.2 mg/dL

    • D. 

      Potassium 7.1 mEq/L

  • 5. 
    A patient with stage 4 chronic kidney disease asks what type of diet they should follow. You explain the patient should follow a:
    • A. 

      Low protein, low sodium, low potassium, low phosphate diet

    • B. 

      High protein, low sodium, low potassium, high phosphate diet

    • C. 

      Low protein, high sodium, high potassium, high phosphate diet

    • D. 

      Low protein, low sodium, low potassium, high phosphate diet

  • 6. 
    A client has an arteriovenous (AV) fistula in place in the right upper extremity for hemodialysis treatments. When planning care for this client, which of the following measures should the nurse implement to promote client safely?
    • A. 

      Take blood pressures only on the right arm to ensure accuracy

    • B. 

      Use the fistula for all venipunctures and intravenous infusions

    • C. 

      Ensure that small clamps are attached to the AV fistula dressing

    • D. 

      Assess the fistula for the presence of a bruit and thrill every 4 hours

  • 7. 
    The home care nurse is making follow-up visits to a client following renal transplant. The nurse assesses the client for which signs of acute graft rejection?
    • A. 

      Hypotension, graft tenderness, and anemia

    • B. 

      Hypertension, oliguria, thirst, and hypothermia

    • C. 

      Fever, hypertension, graft tenderness, and malaise

    • D. 

      Fever, vomiting, hypotension, and copious amounts of dilute urine

  • 8. 
    The client with an external arteriovenous shunt in place for hemodialysis is at risk for bleeding. The priority nurse action would be to:
    • A. 

      Check the shunt for the presence of bruit and thrill

    • B. 

      Observe the site once as time permits during the shift

    • C. 

      Check the results of the prothrombin time as they are determined

    • D. 

      Ensure that small clamps are attached to the arteriovenous shunt dressing

  • 9. 
    The client hemodialyzed suddenly becomes short of breath and complains of chest pain. The client is tachycardic, pale and anxious. The nurse suspects air embolism. The priority action for the nurse is to:
    • A. 

      Discontinue dialysis and notify the physician

    • B. 

      Monitor vital signs every 15 minutes for the next hour

    • C. 

      Continue dialysis at a slower rate after checking the lines for air

    • D. 

      Bolus the client with 500 ml of normal saline to break up the air embolus

  • 10. 
    The client has end-stage renal disease. He had undergone kidney transplant 5 days ago. Which of the following is the most important intervention for the client to prevent infection?
    • A. 

      Observe asepsis

    • B. 

      Increase fluid intake

    • C. 

      Avoid clients with flu

    • D. 

      Avoid crowded places

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