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ATI Med Surg Exam 2 Questions

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Question 1 of 5

A nurse is assessing a client who has end-stage kidney disease and is receiving hemodialysis. Which of the following findings should the nurse identify as an indication the client is experiencing fluid overload?

Correct Answer: C

Rationale: A 5 lb weight gain indicates fluid overload in hemodialysis patients. Flattened veins, normal skin turgor, and 93% oxygen saturation suggest other issues.

Question 2 of 5

A nurse is caring for a client who has end-stage renal disease (ESRD). Which of the following are expected findings? (Select all that apply).

Correct Answer: A,C,D,E

Rationale: Pruritus occurs due to waste buildup (
A). Hypotension results from fluid shifts (
C). Bone pain is linked to mineral disorders (
D). Bradypnea may arise from metabolic changes (E). Slurred speech is not typical for ESRD (
B).

Question 3 of 5

A nurse is reviewing laboratory findings for four clients. Which of the following clients has manifestations of acute kidney injury?

Correct Answer: D

Rationale: Elevated serum creatinine (6 mg/dL) indicates impaired kidney function, a hallmark of AKI. Normal hemoglobin, BUN, and potassium do not suggest AKI.

Question 4 of 5

A nurse is preparing to administer prescribed intravenous potassium replacement supplements to a client who has a potassium level of 2.5 mEq/L (normal range: 3.5 to 5 mEq/L). Which of the following actions should the nurse plan to include? (Select all that apply.)

Correct Answer: A,C,D

Rationale: Adequate urine output prevents hyperkalemia (
A). Cardiac monitoring detects arrhythmias (
C). Repeating potassium levels ensures safety (
D). Education and dextrose preparation are not directly related.

Question 5 of 5

A nurse is providing discharge teaching to a client who has a new arteriovenous fistula in the right forearm. Which of the following manifestations should the nurse include in the teaching as possible indications of venous insufficiency?

Correct Answer: B

Rationale: Coldness and numbness distal to the fistula indicate poor blood flow, a sign of venous insufficiency. Rashes, proximal pain, or drainage suggest other issues like infection.

Similar Questions

A nurse is caring for a group of clients diagnosed with polycystic kidney disease (PKD). While teaching about ways to slow the progression to end-stage renal disease (ESRD), which of the following topics would be most important for the nurse to include?
A nurse is discussing kidney transplant with a client who has end-stage renal disease (ESRD). Which of the following should the nurse identify as a contraindication for this treatment?
A nurse is providing teaching to a client who has renal failure and an elevated phosphorous level. The provider instructed the client to take aluminum hydroxide 300 mg PO three times daily. For which of the following adverse effects should the nurse inform the client?
A nurse is caring for a client who has an admited diagnosis of renal calculi and a medical history of hypertension and gout. The client works 6 days a week outside in temperatures between 32.2°C to 37.8°C (90°F to 100°F). Which of the following should the nurse tell the client to prevent a recurrence of renal calculi?
A nurse is teaching a client who has acute kidney disease about fluid restrictions. Which of the following statements by the client should the nurse identify as understanding of the teaching?

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