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Question 1 of 25
1. Question
What is the primary disadvantage of using peritoneal dialysis for long-term management of chronic renal failure?
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Question 2 of 25
2. Question
The dialysis solution is warmed before use in peritoneal dialysis primarily to:
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Question 3 of 25
3. Question
During the client’s dialysis, the nurse observes that the solution draining from the abdomen is consistently blood-tinged. The client has a permanent peritoneal catheter in place. Which interpretation of this observation would be correct?
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Question 4 of 25
4. Question
Which of the following nursing interventions should be included in the client’s care plan during dialysis therapy?
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Question 5 of 25
5. Question
Aluminum hydroxide gel (Amphojel) is prescribed for the client with chronic renal failure to take at home. What is the purpose of giving this drug to a client with chronic renal failure?
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Question 6 of 25
6. Question
The nurse teaches the client with chronic renal failure when to take the aluminum hydroxide gel. Which of the following statements would indicate that the client understands the teaching?
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Question 7 of 25
7. Question
The client with chronic renal failure tells the nurse he takes magnesium hydroxide (milk of magnesia) at home for constipation. The nurse suggests that the client switch to psyllium hydrophilic mucilloid (Metamucil) because:
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Question 8 of 25
8. Question
In planning teaching strategies for the client with chronic renal failure, the nurse must keep in mind the neurologic impact of uremia. Which teaching strategy would be most appropriate?
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Question 9 of 25
9. Question
The nurse helps the client with chronic renal failure develop a home diet plan with the goal of helping the client maintain adequate nutritional intake. Which of the following diets would be most appropriate for a client with chronic renal failure?
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Question 10 of 25
10. Question
A client with chronic renal failure has asked to be evaluated for a home continuous ambulatory peritoneal dialysis (CAPD) program. The nurse should explain that the major advantage of this approach is that it:
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Question 11 of 25
11. Question
The client asks whether her diet would change on CAPD. Which of the following would be the nurse’s best response?
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Question 12 of 25
12. Question
Which of the following is the most significant sign of peritoneal infection?
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Question 13 of 25
13. Question
The main indicator of the need for hemodialysis is:
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Question 14 of 25
14. Question
To gain access to the vein and artery, an AV shunt was used for Mr. Roberto. The most serious problem with regards to the AV shunt is:
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Question 15 of 25
15. Question
When caring for Mr. Roberto’s AV shunt on his right arm, you should:
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Question 16 of 25
16. Question
The nurse is conducting a postoperative assessment of a client on the first day after renal surgery. Which of the following findings would be most important for the nurse to report to the physician?
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Question 17 of 25
17. Question
Because a client’s renal stone was found to be composed of uric acid, a low-purine, alkaline ash diet was ordered. Incorporation of which of the following food items into the home diet would indicate that the client understands the necessary diet modifications?
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Question 18 of 25
18. Question
Allopurinol (Zyloprim), 200 mg/day, is prescribed for the client with renal calculi to take home. The nurse should teach the client about which of the following side effects of this medication?
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Question 19 of 25
19. Question
The client has a clinic appointment scheduled 10 days after discharge. Which laboratory finding at that time would indicate that allopurinol (Zyloprim) has had a therapeutic effect?
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Question 20 of 25
20. Question
When developing a plan of care for the client with stress incontinence, the nurse should take into consideration that stress incontinence is best defined as the involuntary loss of urine associated with:
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Question 21 of 25
21. Question
Which of the following assessment data would most likely be related to a client’s current complaint of stress incontinence?
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Question 22 of 25
22. Question
The nurse is developing a teaching plan for a client with stress incontinence. Which of the following instructions should be included?
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Question 23 of 25
23. Question
A client has urge incontinence. Which of the following signs and symptoms would the nurse expect to find in this client?
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Question 24 of 25
24. Question
A 72-year old male client is brought to the emergency room by his son. The client is extremely uncomfortable and has been unable to void for the past 12 hours. He has known for some time that he has an enlarged prostate but has wanted to avoid surgery. The best method for the nurse to use when assessing for bladder distention in a male client is to check for:
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Question 25 of 25
25. Question
During a client’s urinary bladder catheterization, the bladder is emptied gradually. The best rationale for the nurse’s action is that completely emptying an overdistended bladder at one time tends to cause:
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