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Bokie1213 Bokie1213
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6 years ago
A patient is scheduled to have an arteriovenous (AV) fistula created for hemodialysis. What should the nurse include when teaching the patient about this fistula?
 
  Select all that apply.
  1. Avoid using the arm with the fistula for blood pressure readings.
  2. A functioning fistula has a palpable pulse and bruit.
  3. Ensure the use of the dominant hand and arm for placement.
  4. The fistula can be used immediately after its creation.
  5. Venipunctures should be performed on the arm with the fistula.

Question 2

A patient who is recovering from acute kidney injury (AKI) is being discharged. What should the nurse include in this patient's instructions?
 
  1. Avoid alcohol consumption.
  2. Use over-the-counter medications as needed.
  3. Instruct to weigh self at least once a month.
  4. Resume a normal diet.

Question 3

A patient with diabetes and heart disease is diagnosed with chronic kidney disease. Which medication order should the nurse question for this patient?
 
  1. oral antihyperglycemic agent
  2. beta-blocker
  3. calcium channel blocker
  4. analgesic

Question 4

A patient with acute kidney injury (AKI) is prescribed furosemide (Lasix). The nurse realizes that this medication will be helpful to the patient because it will
 
  1. reduce edema.
  2. keep sodium in the body.
  3. preserve protein.
  4. be the gentlest diuretic to use.

Question 5

A patient with chronic kidney disease is diagnosed with hypertension. The nurse realizes that this patient's blood pressure needs to be controlled because
 
  1. not doing so increases the risk of adverse effects on the kidneys.
  2. it is the easiest diagnosis to treat.
  3. medications are available to treat this disorder.
  4. everyone should have low-normal blood pressure.

Question 6

The nurse is teaching a patient recovering from a nephrectomy for kidney cancer. What should the nurse include in this teaching?
 
  1. early recognition of a urinary tract infection (UTI)
  2. ways to limit fluids
  3. promoting high-impact sports and activities
  4. organ donor information

Question 7

A patient who is diagnosed with renal cancer states, I only lost a few pounds I had no other symptoms What should the nurse realize as being the only consistent symptom of renal cancer?
 
  1. hematuria
  2. flank pain
  3. nausea
  4. vomiting
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Replies
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6 years ago
The answer to question 1

Correct Answer: 1, 2
Avoid using the arm with the fistula for blood pressure readings. A functional arteriovenous (AV) fistula has a palpable pulse and a bruit on auscultation. The arm in which a fistula is placed should not be used for venipuncture, and that arm should be marked as not available for these purposes. It takes about a month for the fistula to mature.

The answer to question 2

Correct Answer: 1
Because alcohol can increase the nephrotoxicity of some drugs, discourage alcohol ingestion. Additional teaching includes avoiding exposure to nephrotoxins, particularly those found in over-the-counter products, monitoring weight closely as a way to assess fluid status, and continuing dietary restrictions.

The answer to question 3

Correct Answer: 1
Drugs such as metformin (Glucophage), and other oral antihyperglycemic agents eliminated by the kidney are to be avoided. Beta-blockers, calcium channel blockers, and analgesics may be used with dosage adjustment.

The answer to question 4

Correct Answer: 1
If restoration of renal blood flow does not improve urinary output, a potent loop diuretic such as furosemide may be given with intravenous fluids to help manage fluid overload. Furosemide may also be used to manage salt and water retention associated with ARF as it helps to eliminate sodium. Furosemide does not preserve protein. Medications are not typically prescribed by their gentleness. Each patient's response to a medication can be unique.

The answer to question 5

Correct Answer: 1
Management of hypertension to maintain blood pressure within normal limits the risk of adverse effects on the kidneys. Hypertension is not always easily diagnosed. The goal of having this patient's blood pressure under control is directly related to his chronic kidney disease. Just because medications are available to treat the disorder is not a rationale for why blood pressure should be controlled. The idea of everyone having low-normal blood pressure does not apply to this patient because of the new diagnosis and history of chronic kidney disease.

The answer to question 6

Correct Answer: 1
If renal cancer was detected at an early stage and cure is anticipated, teaching should focus on protecting the remaining kidney, including measures to prevent infection, renal calculi, hydronephrosis and trauma; maintain a fluid intake of 2000 to 3000 mL per day, and increase the amount during hot weather or strenuous exercise; urinate when the urge is perceived and before and after sexual intercourse; properly clean the perineal area; manifestations of urinary tract infection (UTI), and the importance of early and appropriate evaluation and intervention; manifestations of prostatic hypertrophy; avoid contact sports such as football or hockey; and measures to prevent motor vehicle accidents or falls, which could damage the kidney. A discussion of organ donor information is not relevant.

The answer to question 7

Correct Answer: 1
Renal tumors are often silent and have few manifestations. The classic triad of symptoms, which is gross hematuria, flank pain, and palpable abdominal mass, is seen in only about 10 of people with renal cell carcinoma. Hematuria, often microscopic, is the most consistent symptom. Systemic manifestations include fever without infection, fatigue, and weight loss. Nausea and vomiting are not frequent symptoms of renal cancer.
Bokie1213 Author
wrote...
6 years ago
Ready for finals
wrote...
6 years ago
Good luck my friend!
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