ATI LPN
Renal System Questions Questions
Question 1 of 5
The nurse is caring for a patient who has chronic kidney disease. Laboratory test results show a potassium level of 6 mEq/L. Which of the following actions would be most appropriate for the nurse to take?
Correct Answer: E
Rationale: Notify the RN and physician for treatment orders and place the patient on a cardiac monitor to detect dysrhythmias.
Question 2 of 5
A patient is admitted to a psychiatric unit with severe depression and suicidal ideation. Which intervention should the nurse prioritize?
Correct Answer: B
Rationale: Safety is the priority in patients with suicidal ideation to prevent self-harm.
Question 3 of 5
A client with phobic disorder avoids crowded places. The nurse recognizes this behavior as an example of:
Correct Answer: B
Rationale: Avoidance of crowded places is characteristic of agoraphobia.
Question 4 of 5
A patient is scheduled for a CT scan of the abdomen with contrast. The patient has a baseline creatinine level of 2.3 mg/dL. In preparing this patient for the procedure, the nurse anticipates what orders?
Correct Answer: B
Rationale: Radiocontrast-induced nephropathy is a major cause of hospital-acquired acute kidney injury. Baseline levels of creatinine greater than 2 mg/dL identify the patient as being high risk. Preprocedure hydration and prescription of acetylcysteine (Mucomyst) the day prior to the test is effective in prevention. The nurse would not monitor the patients electrolytes every hour preprocedure. Nothing in the scenario indicates the need for hemodialysis. A creatinine clearance is not necessary prior to a CT scan with contrast.
Question 5 of 5
The nurse contributes to the plan of care for a patient having an intravenous pyelogram. Which intervention should be included?
Correct Answer: B
Rationale: Monitoring creatinine detects contrast-induced kidney damage.