HESI REMEDIATION 246
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
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| show | - Hypertension - Polycystic kidney disease - Diabetes Mellitus-
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| Which additional symptoms should the nurse ask about? (Select all that apply. One, some, or all options may be correct.) | show 🗑
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| show | The client has uremia and may need to start dialysis.
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| 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? | show 🗑
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| Which lab value would the nurse be MOST concerned about? | show 🗑
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| What is the correct interpretation of these ABG's? | show 🗑
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| show | - 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
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| The client's hemoglobin level is 7.8 g/dL (78 g/L). What action should the nurse take? | show 🗑
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| show | - Blood pressure of 178/92 mmHg - Respiratory rate of 28 breaths per minute- Bibasilar crackles - Edema
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| show | Serum phosphorous of 4.0 mg/dL (1.29 mmol/L)5
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| show | Blood pressure
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| show | Conjunctival sac returns to a reddish pink color
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| show | Encourage the client to ask questions and discuss fears about diagnosis
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| Which intervention is most important for the nurse to implement? | show 🗑
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| Which intervention should the nurse implement? | show 🗑
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| 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.) | show 🗑
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| 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.) | show 🗑
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| What complication would the client be most concerned about if choosing peritoneal dialysis? | show 🗑
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| The client asks the nurse to clarify what palliative care involves. Which explanation provides the client the best education regarding palliative care? (Select all that apply. One, some, or all options may be correct.) | show 🗑
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| The nurse documents the assessment of the arteriovenous (AV) graft. Which documentation best describes a properly functioning AV graft? | show 🗑
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| show | Perform sterile dressing changes at the dual lumen catheter site - Assess the client's distal pulses and circulation in the arm with the access.
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| show | 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.
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| show | Client will avoid canned and processed foods.
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| show | Limit fluids in between treatments to minimize the amount of fluid that needs to be removed during dialysis.
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| show | Vital signs
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| show | Monitor the client's urinary output hourly using an urimeter.
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| The nurse is preparing....The anti-thymocyte globulin (ATG) comes in a vial with 25mg/10mL. the client weighs 132 lbs (60 kg). The Thymoglobulin will be infused over 6 hours. What rate should the nurse program on the infusion pump? | show 🗑
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| Which interventions are important to include in the client's plan of care while receiving multiple immunosuppressants? (Select all that apply. One, some, or all options may be correct.) | show 🗑
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| show | Administer an analgesic.
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| 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.) | show 🗑
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| show | Measure the client's urinary output.
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| What is the best initial response by the nurse? | show 🗑
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| show | Advise the client to come to the clinic right away for further evaluation.
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| What is the best response by the nurse? | show 🗑
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| What is the best nursing intervention for the family member's anger? | show 🗑
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Created by:
Brandi Sizemore