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ATI Med Surg Exam 2 Questions

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Question 1 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.

Question 2 of 5

A nurse is providing teaching to a client about completing a creatinine clearance test. Which of the following instructions should the nurse include in the teaching?

Correct Answer: C

Rationale: Avoiding rigorous exercise prevents altered creatinine levels, ensuring test accuracy. Collection starts at a set time, lasts 24 hours, and requires cool storage.

Question 3 of 5

A nurse is providing care to a client who has peritonitis. Which of the following conditions is the highest priority for the nurse to monitor?

Correct Answer: D

Rationale: Sepsis, a life-threatening complication of peritonitis, requires immediate monitoring due to its potential for rapid deterioration. Other conditions are less urgent.

Question 4 of 5

A nurse is caring for a client who has chronic kidney disease (CKD) and reports heartburn. The provider prescribes aluminum hydroxide. The client asks, 'Why can't I just take the antacid magaldrate that my husband has at home?' The nurse explains to the client that aluminum hydroxide is the preferred antacid because it lowers which of the following?

Correct Answer: B

Rationale: Aluminum hydroxide binds phosphate, lowering serum phosphorus in CKD. It does not primarily affect calcium, potassium, or magnesium.

Question 5 of 5

A nurse is reviewing the BUN and creatinine levels of an older adult client who has chronic kidney disease (CKD). The nurse should expect which of the following findings?

Correct Answer: D

Rationale: BUN 23 mg/dL and creatinine 1.0 mg/dL align with CKD's elevated levels. Other options are normal or incorrectly scaled.

Similar Questions

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 gathering medical history from a client admited for pyelonephritis. Which of the following should the nurse expect the client to report when asked about their medical history?
A nurse is developing a plan of care for a client who is to begin receiving peritoneal dialysis. Which of the following interventions should the nurse implement to ensure proper dialysate exchange?
The nurse reviews data from a new client's kidney function test. Which of the following standards of transplant nursing practice is the nurse primarily performing?
A nurse is preparing a client for a kidney biopsy. Which of the following client conditions should the nurse identify as a contraindication for this diagnostic test?

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