Page 1886 - Saunders Comprehensive Review For NCLEX-RN

4. Decreased force in the stream of urine
651. The nurse monitoring a client receiving peritoneal dialysis notes that the
client’s outflow is less than the inflow. Which actions should the nurse take?
Select all that apply.
1. Check the level of the drainage bag.

2. Reposition the client to her or his side.

3. Place the client in good body alignment.

4. Check the peritoneal dialysis system for kinks.
5. Contact the primary health care provider (PHCP).

6. Increase the flow rate of the peritoneal dialysis solution.

652. A hemodialysis client with a left arm fistula is at risk for arterial steal
syndrome. The nurse should assess for which manifestations of this
complication?
1. Warmth, redness, and pain in the left hand
2. Ecchymosis and audible bruit over the fistula
3. Edema and reddish discoloration of the left arm
4. Pallor, diminished pulse, and pain in the left hand
653. The nurse is reviewing a client’s record and notes that the primary health
care provider has documented that the client has chronic kidney disease. On
review of the laboratory results, the nurse most likely would expect to note
which finding?
1. Elevated creatinine level
2. Decreased hemoglobin level
3. Decreased red blood cell count
4. Increased number of white blood cells in the urine
654. A client with chronic kidney disease returns to the nursing unit following a
hemodialysis treatment. On assessment, the nurse notes that the client’s
temperature is 38.5° C (101.2° F). Which nursing action is most appropriate?
1. Encourage fluid intake.
2. Continue to monitor vital signs.
3. Notify the primary health care provider.
4. Monitor the site of the shunt for infection.
655. The nurse is performing an assessment on a client who has returned from the
dialysis unit following hemodialysis. The client is complaining of headache
and nausea and is extremely restless. Which is the priority nursing action?
1. Monitor the client.
2. Elevate the head of the bed.
3. Assess the fistula site and dressing.
4. Notify the primary health care provider (PHCP).
656. A client with severe back pain and hematuria is found to have
hydronephrosis due to urolithiasis. The nurse anticipates which treatment
will be done to relieve the obstruction? Select all that apply.
1. Peritoneal dialysis

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