A client in the intensive care unit is started on continuous venovenous hemofiltration (CVVH). Which ...

A client in the intensive care unit is started on continuous venovenous hemofiltration (CVVH). Which finding is the cause of immediate action by the nurse?
 
  a. Blood pressure of 76/58 mm Hg
  b. Sodium level of 138 mEq/L
  c. Potassium level of 5.5 mEq/L
  d. Pulse rate of 90 beats/min

Question 2

The charge nurse of the medical-surgical unit is making staff assignments. Which staff member should be assigned to a client with chronic kidney disease who is exhibiting a low-grade fever and a pericardial friction rub?
 
  a. Registered nurse who just floated from the surgical unit
  b. Registered nurse who just floated from the dialysis unit
  c. Registered nurse who was assigned the same client yesterday
  d. Licensed practical nurse with 5 years' experience on this floor

Question 3

A client has a serum potassium level of 6.5 mmol/L, a serum creatinine level of 2 mg/dL, and a urine output of 350 mL/day. What is the best action by the nurse?
 
  a. Place the client on a cardiac monitor immediately.
  b. Teach the client to limit high-potassium foods.
  c. Continue to monitor the client's intake and output.
  d. Ask to have the laboratory redraw the blood specimen.

Question 4

A client with acute kidney injury has a blood pressure of 76/55 mm Hg. The health care provider ordered 1000 mL of normal saline to be infused over 1 hour to maintain perfusion. The client is starting to develop shortness of breath.
 
  What is the nurse's priority action?
  a.
  Calculate the mean arterial pressure (MAP).
  b.
  Ask for insertion of a pulmonary artery catheter.
  c.
  Take the client's pulse.
  d.
  Slow down the normal saline infusion.

Question 5

A client is admitted with acute kidney injury (AKI) and a urine output of 2000 mL/day. What is the major concern of the nurse regarding this client's care?
 
  a. Edema and pain
  b. Electrolyte and fluid imbalance
  c. Cardiac and respiratory status
  d. Mental health status

Question 6

A client has just had a central line catheter placed that is specific for hemodialysis. What is the most appropriate action by the nurse?
 
  a. Use the catheter for the next laboratory blood draw.
  b. Monitor the central venous pressure through this line.
  c. Access the line for the next intravenous medication.
  d. Place a heparin or heparin/saline dwell after hemodialysis.

Question 7

The nurse is assessing a client with a diagnosis of pre-renal acute kidney injury (AKI). Which condition would the nurse expect to find in the client's recent history?
 
  a. Pyelonephritis
  b. Myocardial infarction
  c. Bladder cancer
  d. Kidney stones