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ATI Med Surg Exam 2 Questions

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Question 1 of 5

A nurse is providing dietary teaching to a client who has nephropathy secondary to diabetes mellitus and plans to make dietary adjustments. Which of the following instructions should the nurse include?

Correct Answer: B

Rationale: Low protein intake (0.8 g/kg/day) reduces kidney workload in diabetic nephropathy. Fiber, cholesterol, and carbohydrate restrictions are less specific.

Question 2 of 5

A nurse is caring for a client immediately following a hemodialysis treatment. For which of the following manifestations will the nurse administer a PRN dose of phenytoin?

Correct Answer: A

Rationale: Headache and restlessness may indicate seizures, warranting phenytoin. Other symptoms suggest different issues.

Question 3 of 5

A nurse is reviewing the arterial blood gas values of a client who has chronic kidney disease. Which of the following sets of values should the nurse expect?

Correct Answer: C

Rationale: Metabolic acidosis (pH 7.25, HCO3- 19) is expected in CKD due to acid accumulation. Other sets indicate respiratory or metabolic alkalosis.

Question 4 of 5

A nurse is discussing laboratory values associated with the renal system with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the values?

Correct Answer: B

Rationale: Increased creatinine indicates AKI due to reduced filtration. Specific gravity rises in hypovolemia, potassium is unrelated to polyuria, and BUN rises in dehydration.

Question 5 of 5

A nurse is caring for a client who has acute kidney injury (AKI). Which of the following arterial blood gas (ABG) values would the nurse expect this client to have?

Correct Answer: D

Rationale: Metabolic acidosis (pH 7.26, HCO3 14) is expected in AKI due to acid accumulation. Other sets indicate respiratory or metabolic alkalosis.

Similar Questions

A nurse is providing discharge teaching to a client who will be performing continuous ambulatory peritoneal dialysis (CAPD) at home. Which of the following statements from the client indicates an understanding of this type of dialysis management? (Select all that apply)
A nurse is caring for four clients on the urology unit. Which of the following clients should the nurse plan to teach about kidney stone prevention?
A nurse is collecting a medication history from a client who is scheduled to have a cardiac catheterization. Which of the following medications taken by the client interacts with contrast material and places the client at risk for acute kidney injury?
A nurse is caring for a client in the clinic who has a distended bladder with discomfort over the area and a sense of fullness. Which of the following tests should the nurse expect the health care provider to order to determine if the client has urinary retention? (Select all that apply.)
A nurse is reviewing the laboratory test results from a client who has prerenal acute kidney injury (AKI). Which of the following electrolyte imbalances should the nurse expect?

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