FREE AND STUDY GAMES ABOUT HESI REMEDIATION 246

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FREE AND STUDY GAMES ABOUT HESI REMEDIATION 246

EXAM QUESTIONS

Actual Qs and Ans Expert-Verified Explanation

This Exam contains:

-Guarantee passing score -35 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation Question 1: What complication would the client be most concerned about if choosing peritoneal dialysis?

Answer:

Abdominal infection/Peritonitis Question 2: Which intervention should the nurse ensure is included in the plan of care during the immediate postoperative period?

Answer:

Monitor the client's urinary output hourly using an urimeter.

Question 3: Which lab value would the nurse be MOST concerned about?

Answer:

Glomerular filtration rate (GFR) of 9mL/min/1.73m2.Question 4: What assessment data supports the diagnosis of acute organ rejection? (Select all that apply. One, some, or all options may be correct.)

Answer:

• Blood pressure of 178/96 mm Hg. - Sub therapeutic immunosuppression levels - Acute pain rated 6/10
• Temperature of 100.6 F(38.1 C). - BUN of 56 mg/dL (19.99 mmol/L) and Creatinine of 1.9 mg/dL

(167.96 mcmol/L

Question 5: The client's hemoglobin level is 7.8 g/dL (78 g/L). What action should the nurse take?

Answer:

Obtain an order to start an erythropoietin stimulating agent (ESA) Question 6: Which intervention should the nurse ensure has been include in the client's plan of care? (Select all that apply. One, some, or all options may be correct.)

Answer:

Perform sterile dressing changes at the dual lumen catheter site - Assess the client's distal pulses and circulation in the arm with the access.Question 7: Which assessment finding indicates to the nurse that the desired outcome of the calcium acetate has been achieved?

Answer:

Serum phosphorous of 4.0 mg/dL (1.29 mmol/L)5

Question 8: Which instructions should the nurse give the client?

Answer:

Advise the client to come to the clinic right away for further evaluation.Question 9: What action should the nurse take based on the response from the healthcare provider (HCP) phone call? (Select all that apply. One, some, or all options may be correct.)

Answer:

Document both phone calls and the HCP's prescriptions. - Notify the charge nurse and activate the chain of command - Hold the potassium chloride

Question 10: What is the correct interpretation of these ABG's?

Answer:

Metabolic acidosis (compensated)

Question 11: What is the best response by the nurse?

Answer:

This is a very difficult time for you and your family

Question 12: The nurse documents the assessment of the arteriovenous (AV) graft. Which documentation best describes a properly functioning AV graft?

Answer:

Thrill present and palpated Question 13: Based on these problems, which nursing intervention should be included in the client's plan of care?

Answer:

Encourage the client to ask questions and discuss fears about diagnosis

Question 14: Which action should the nurse implement first?

Answer:

Administer an analgesic.Question 15: After the nurse completes the assessment, what findings are most important to report to the healthcare provider (HCP) ? (Select all that apply. One, some, or all options may be correct.)

Answer:

• Blood pressure of 178/92 mmHg - Respiratory rate of 28 breaths per minute- Bibasilar crackles -

Edema Question 16: What is the best nursing intervention for the family member's anger?

Answer:

Encourage the family member to share frustration regarding the loss of the kidney.Question 17: Based on the nurse's assessment, which assessment data supports the decision to administer pain medication as the first intervention? (Select all that apply. One, some, or all options may be correct.)

Answer:

Pain rating of 6/10 - Heart rate of 102 beats/minute - Blood pressure of 132/76 mmHg Question 18: The nurse assesses the dialysis graft. Which assessment should be reported to the healthcare provider (HCP) immediately? (Select all that apply. One, some, or all options may be correct.)

Answer:

Yellow, purulent drainage from graft incision site. - Absence of a thrill over the graft site. - Capillary refill >10 seconds in the hand where the graft is placed.

Question 19: Which expected outcome should be included in the nurse's teaching plan?

Answer:

Client will avoid canned and processed foods.Question 20: The nurse prepares and instructs the client for hemodialysis. Which statements by the client indicate the need for further education? (Select all that apply. One, some, or all options may be correct.)

Answer:

Hemodialysis will help restore kidney function back to a normal level. - Bowel or bladder perforation may occur with hemodialysis catheter placement.Question 21: Which assessment should the nurse perform to determine if the desired outcome of the losartan has been achieved?

Answer:

Blood pressure Question 22: The nurse is teaching the client about progression of chronic kidney disease (CKD). Which evaluation statement documented by the nurse indicates the client's understanding of the disease process?

Answer:

The client acknowledges that renal replacement therapy will need to be initiated immediately to rid the body of waste and maintain fluid balance.Question 23: Which is the priority nursing assessment during the first 24-hour postoperative period?

Answer:

Vital signs Question 24: The nurse reviews the client's medical history. What part of the medical history should the nurse consider relevant to the client's current history? (Select all that apply. One, some, or all options may be correct.)

Answer:

• Hypertension - Polycystic kidney disease - Diabetes Mellitus-