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ATI Med Surg Exam 10 Questions

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Question 1 of 5

A nurse is reviewing the medication record for a client who has chronic kidney disease. Which of the following medications should the nurse identify as having the potential to cause nephrotoxicity?

Correct Answer: C

Rationale: Vancomycin is an antibiotic that can cause nephrotoxicity, especially when administered in high doses or in individuals with impaired renal function. Monitoring renal function is crucial when using vancomycin.

Question 2 of 5

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?

Correct Answer: C

Rationale: Not adding fluid-rich foods like ice cream to the total fluid intake demonstrates an understanding of fluid restriction and adherence to the prescribed limit.

Question 3 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,B,D

Rationale: Bone pain occurs due to mineral and bone disorders, slurred speech can indicate uremic encephalopathy, and pruritus is common due to uremic toxins in ESRD.

Question 4 of 5

A nurse is reviewing laboratory values for a client who has systemic lupus erythematosus (SLE). Which of the following values should give the nurse the best indication of the client's renal function?

Correct Answer: B

Rationale: Serum creatinine is a more specific indicator of renal function because it reflects the glomerular filtration rate (GFR). Elevated levels indicate impaired renal function.

Question 5 of 5

A nurse is talking to a client who is taking a calcium supplement for osteoporosis. The client tells the nurse she is experiencing flank pain. Which of the following adverse effects should the nurse suspect?

Correct Answer: B

Rationale: Flank pain can be a symptom of kidney stones, which can occur due to excessive calcium supplementation.

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