ATI LPN
Renal System Questions and Answers Questions
Question 1 of 5
The nurse is contributing to the plan of care for a patient who has chronic kidney disease. What are possible effects of this condition the nurse should consider?
Correct Answer: F
Rationale: All but B and F occur due to the loss of function and resulting effects of the failed kidneys.
Question 2 of 5
A client diagnosed with major depressive disorder is being assessed for treatment options. Which statement by the nurse best explains the use of electroconvulsive therapy (ECT)?
Correct Answer: A
Rationale: ECT is indicated when rapid symptom relief is necessary, especially in severe depression.
Question 3 of 5
A patient with dysthymia is being treated. The nurse understands that dysthymia differs from major depression in that it:
Correct Answer: B
Rationale: Dysthymia involves chronic, mild depressive symptoms lasting at least two years.
Question 4 of 5
A patient is admitted to the ICU after a motor vehicle accident. On the second day of the hospital admission, the patient develops acute kidney injury. The patient is hemodynamically unstable, but renal replacement therapy is needed to manage the patients hypervolemia and hyperkalemia. Which of the following therapies will the patients hemodynamic status best tolerate?
Correct Answer: C
Rationale: CVVHD facilitates the removal of uremic toxins and fluid. The hemodynamic effects of CVVHD are usually mild in comparison to hemodialysis, so CVVHD is best tolerated by an unstable patient. Peritoneal dialysis is not the best choice, as the patient may have sustained abdominal injuries during the accident and catheter placement would be risky. Plasmapheresis does not achieve fluid removal and electrolyte balance.
Question 5 of 5
The nurse is caring for an unstable patient with acute kidney injury. What therapy would the nurse expect?
Correct Answer: C
Rationale: CRRT is preferred for unstable patients due to its gentle effect.