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Author Archives: Anonymous

A client scheduled for a CT scan of the abdomen with contras…

A client scheduled for a CT scan of the abdomen with contrast. The client has a BUN: 27 and creatinine level of 2.1 mg/dL. In preparing the client for the procedure, the nurse anticipates the provider will order which intervention?  

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A client is status post a nephrectomy. The nurse is performi…

A client is status post a nephrectomy. The nurse is performing the assessment and notes the client has become lethargic, vital signs are Temperature: 98.9°Farenheit, Pulse: 102 beats/min, Respirations: 18, Blood pressure: 89/50, O2 Saturation: 98% on face mask at 40%. Which of the following nursing actions should the nurse prioritize in the care of this client?  

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A nurse has written a plan of care for a man diagnosed with…

A nurse has written a plan of care for a man diagnosed with peripheral arterial insufficiency. One of the nursing diagnoses in the care plan is altered peripheral tissue perfusion related to compromised circulation. What is the most appropriate intervention for this diagnosis?  

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You are receiving a report on a 65-year-old client undergoin…

You are receiving a report on a 65-year-old client undergoing peritoneal dialysis with a history of diabetes mellitus, hypertension, end-stage renal disease (ESRD), coronary artery disease (CAD), and heart failure. The client is awake, alert, and oriented with fine crackles to the bilateral bases, unlabored respirations, normal heart sounds without S3, a firm abdomen, hypoactive bowel sounds, and redness with cloudy drainage from the peritoneal dialysis (PD) catheter last evening. The client reports 5/10 abdominal pain, is anuric, continent of bowel, and presents with hot, dry, pale skin and a capillary refill of less than 4 seconds, with positive peripheral pulses. Based on this assessment, what is the likely diagnosis and what interventions will the nurse implement?

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A nurse is caring for a client with impaired renal function….

A nurse is caring for a client with impaired renal function. A 24-hour urine collection is ordered. The nurse informs the client it will be necessary to complete which intervention?    

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A nurse is caring for a client who is admitted with end stag…

A nurse is caring for a client who is admitted with end stage renal disease, which would the nurse include in the plan of care?  

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A client with renal impairment needs a diuretic. The health…

A client with renal impairment needs a diuretic. The health care provider has prescribed a potassium-sparing diuretic. What nursing intervention would be most important for this client?  

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A client is on nitroglycerin 25 mg in 250 mL 5% Dextrose to…

A client is on nitroglycerin 25 mg in 250 mL 5% Dextrose to infusion to start at a rate of 5 mcg/min.  How many mL/hr would the nurse set on the infusion pump? (Round to the tenth).         

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A nurse is caring for a client being discharged home after a…

A nurse is caring for a client being discharged home after a kidney transplant. The client is being discharged on cyclosporine.  Which statement by the client would indicate teaching was ineffective?  

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A licensed practical nurse (LPN) is caring for a client diag…

A licensed practical nurse (LPN) is caring for a client diagnosed with an acute kidney injury. The LPN reports to the registered nurse (RN), that the urine output is 1560 mL for the past 8 hours.  The LPN asks how a client with renal failure can have such a large urine output. The best response by the nurse is which of the following?  

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