Medical Quiz

Renal Replacement Therapies Quiz


Preview:


The nurse is reviewing a list of components contained in the peritoneal dialysis solution with the client. The client asks the nurse about the purpose of the glucose contained in the solution. The nurse bases the response knowing that the glucose:

A. Decreases risk of peritonitis.

B. Prevents excess glucose from being removed from the client.

C. Increased osmotic pressure to produce ultrafiltration.

D. Prevents disequilibrium syndrome.


The client with chronic renal failure is scheduled for hemodialysis this morning is due to receive a daily dose of enalapril. The nurse should plan to administer this medication:

A. During dialysis

B. Just before dialysis.

C. The day after dialysis.

D. On return from dialysis.


The client newly diagnosed with chronic renal failure recently has begun hemodialysis. Knowing that the client is at risk for disequilibrium syndrome, the nurse assesses the client during dialysis for:

A. Hypertension, tachycardia, and fever.

B. Hypotension, bradycardia, and hypothermia.

C. Restlessness, irritability, and generalized weakness.

D. Headache, deteriorating level of consciousness, and twitching.


During hemodialysis, excess fluid is removed by:

A. Osmosis

B. Diffusion

C. Filtration

D. Ultrafiltration


The client with continuous ambulatory peritoneal dialysis (CAPD) has cloudy dialysate. Which of the following is the best initial nursing action?

A. Notify the provider and send fluid to the laboratory for culture

B. Administer antibiotic

C. Do nothing, this is expected

D. Stop the drainage of fluid


The nurse recognizes that which of the following is an indication to begin dialysis?

A. When the client is no longer able to tolerate medications.

B. Once the GFR reaches 25.

C. Less than 20% of nephrons are still functioning.

D. When the client reaches stage 3 CKD.


During hemodialysis, wastes are removed from the patient’s blood by:

A. Osmosis

B. Diffusion

C. Filtration

D. Ultrafiltration


What are the goals of hemodialysis? SATA

A. Removal of waste products

B. Regulation of fluid balance

C. Correction of electrolyte and acid/base balance

D. All above are true


A 40 y.o. male patient is undergoing hemodialysis with an internal AV fistula in place. What do you do to prevent complications associated with this device?

A. Insert I.V. lines above the fistula.

B. Palpate pulses above the fistula.

C. Report a bruit or thrill over the fistula to the doctor.

D. Avoid taking blood pressures in the arm with the fistula.


The nurse is caring for a client receiving peritoneal dialysis. The nurse notes that a client’s outflow has slowed considerably. Which of the following actions will the nurse take. SATA

A. Place the client in good body alignment.

B. Check the peritoneal dialysis system for kinks.

C. Check the level of the drainage bag.

D. Reposition the client to his or her side.

E. All above are true




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