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1. A client with a history of chronic renal failure receives hemodialysis treatments three times per week through an arteriovenous (AV) fistula in the left arm. Which intervention should the nurse include in the care plan?
A
Keep the AV fistula site dry.
B
Keep the AV fistula wrapped in gauze.
C
Assess the AV fistula for a bruit and thrill.
2. The nurse cares for a client with a right-arm arteriovenous fistula (AVF) for hemodialysis treatments. Which nursing action is contraindicated?
A
Palpating the fistula for a “thrill”
B
Obtaining blood samples from the left arm
C
Obtaining a blood pressure reading from the right arm
3. The nurse is caring for a client receiving hemodialysis three times weekly. The client has had surgery to form an arteriovenous fistula. What is most important for the nurse to be aware of when providing care for this client?
A
The client should not feel pain during initiation of dialysis.
B
Taking a BP reading on the affected arm can damage the fistula.
C
The client feels best immediately after the dialysis treatment.
4. A client with chronic kidney disease has been on dialysis for 3 years. The client is receiving aluminum hydroxide as a phosphate-binding agent. The client how has mental cloudiness, dementia, and complaints of bone pain. Which do these data indicate?
A
Aluminum intoxication
B
Phosphate overdose
C
Folic acid deficiency
5. A nurse is teaching a client who has chronic kidney disease and is to begin hemodialysis. Which of the following information should the nurse include in the teaching?
A
Hemodialysis restores kidney function.
B
Hemodialysis returns a balance to blood electrolytes.
C
Hemodialysis replaces hormonal function of the renal system.
6. A nurse is caring for a client who develops disequilibrium syndrome after receiving hemodialysis. Which of the following actions should the nurse take?
A
Assess level of consciousness
B
Monitor for hypertension
C
Increase the dialysis exchange rate
7. The nurse notes that a patient who is retaining fluid had a 1-kg weight gain. The nurse knows knows that this is equivalent to about how many mL?
A
250 mL
B
750 mL
C
1,000 mL
8. A client is admitted for treatment of chronic renal failure. The nurse knows that this disorder increases the client's risk of:
A
A decreased serum phosphate level secondary to kidney failure
B
An increased serum calcium level secondary to kidney failure
C
Water & sodium retention secondary to a severe decrease in the GFR