An emergency department nurse cares for a client who is severely dehydrated and is prescribed 3 L of intravenous fluid over 6 hours. At what rate (mL/hr) should the nurse set the intravenous pump to infuse the fluids?
(Record your answer using a whole number.) ____ mL/hr
Question 2A male client comes into the emergency department with a serum creatinine of 2.2 mg/dL and a blood urea nitrogen (BUN) of 24 mL/dL. What question should the nurse ask first when taking this client's history?
a. Have you been taking any aspirin, ibuprofen, or naproxen recently?
b. Do you have anyone in your family with renal failure?
c. Have you had a diet that is low in protein recently?
d. Has a relative had a kidney transplant lately?
Question 3A marathon runner comes into the clinic and states I have not urinated very much in the last few days. The nurse notes a heart rate of 110 beats/min and a blood pressure of 86/58 mm Hg. Which action by the nurse is the priority?
a. Give the client a bottle of water immediately.
b. Start an intravenous line for fluids.
c. Teach the client to drink 2 to 3 liters of water daily.
d. Perform an electrocardiogram.
Question 4A nurse assesses a client with nephrotic syndrome. For which clinical manifestations should the nurse assess? (Select all that apply.)
a. Proteinuria
b. Hypoalbuminemia
c. Dehydration
d. Lipiduria
e. Dysuria
f.
Costovertebral angle (CVA) tenderness
Question 5A nurse assesses a client who is recovering from a nephrostomy. Which assessment findings should alert the nurse to urgently contact the health care provider? (Select all that apply.)
a. Clear drainage
b. Bloody drainage at site
c. Client reports headache
d. Foul-smelling drainage
e. Urine draining from site
Question 6A nurse reviews laboratory results for a client with glomerulonephritis. The client's glomerular filtration rate (GFR) is 40 mL/min as measured by a 24-hour creatinine clearance. How should the nurse interpret this finding? (Select all that apply.)
a. Excessive GFR
b. Normal GFR
c. Reduced GFR
d. Potential for fluid overload
e. Potential for dehydration
Question 7A nurse teaches a client with polycystic kidney disease (PKD). Which statements should the nurse include in this client's discharge teaching? (Select all that apply.)
a. Take your blood pressure every morning.
b. Weigh yourself at the same time each day.
c. Adjust your diet to prevent diarrhea.
d. Contact your provider if you have visual disturbances.
e. Assess your urine for renal stones.
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