Page 1884 - Saunders Comprehensive Review For NCLEX-RN

Practice Questions

641. A client with acute kidney injury has a serum potassium level of 7.0 mEq/L
(7.0 mmol/L). The nurse should plan which actions as a priority? Select all
that apply.

1. Place the client on a cardiac monitor.

2. Notify the primary health care provider (PHCP).
3. Put the client on NPO (nothing by mouth) status except for

ice chips.
4. Review the client’s medications to determine whether any
contain or retain potassium.

5. Allow an extra 500 mL of intravenous fluid intake to dilute
the electrolyte concentration.
642. A client with chronic kidney disease being hemodialyzed suddenly becomes
short of breath and complains of chest pain. The client is tachycardic, pale,
and anxious, and the nurse suspects air embolism. What are the priority
nursing actions? Select all that apply.

1. Administer oxygen to the client.
2. Continue dialysis at a slower rate after checking the lines for

air.
3. Notify the primary health care provider (PHCP) and Rapid
Response Team.

4. Stop dialysis, and turn the client on the left side with head
lower than feet.
5. Bolus the client with 500 mL of normal saline to break up the

air embolus.
643. A client arrives at the emergency department with complaints of low
abdominal pain and hematuria. The client is afebrile. The nurse next assesses
the client to determine a history of which condition?
1. Pyelonephritis
2. Glomerulonephritis
3. Trauma to the bladder or abdomen
4. Renal cancer in the client’s family
644. The nurse discusses plans for future treatment options with a client with
symptomatic polycystic kidney disease. Which treatment should be included
in this discussion? Select all that apply.
1. Hemodialysis

2. Peritoneal dialysis

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