Page 1887 - Saunders Comprehensive Review For NCLEX-RN

2. Analysis of the urinary stone
3. Intravenous opioid analgesics

4. Insertion of a nephrostomy tube

5. Placement of a ureteral stent with ureteroscopy

657. The nurse is instructing a client with diabetes mellitus about peritoneal
dialysis. The nurse tells the client that it is important to maintain the
prescribed dwell time for the dialysis because of the risk of which
complication?
1. Peritonitis
2. Hyperglycemia
3. Hyperphosphatemia
4. Disequilibrium syndrome
658. A week after kidney transplantation, a client develops a temperature of 101°
F (38.3° C), the blood pressure is elevated, and there is tenderness over the
transplanted kidney. The serum creatinine is rising and urine output is
decreased. The x-ray indicates that the transplanted kidney is enlarged.
Based on these assessment findings, the nurse anticipates which treatment?
1. Antibiotic therapy
2. Peritoneal dialysis
3. Removal of the transplanted kidney
4. Increased immunosuppression therapy
659. A client is admitted to the hospital with a diagnosis of benign prostatic
hyperplasia, and a transurethral resection of the prostate is performed. Four
hours after surgery, the nurse takes the client’s vital signs and empties the
urinary drainage bag. Which assessment finding indicates the need to notify
the primary health care provider (PHCP)?
1. Red, bloody urine
2. Pain rated as 2 on a 0 to 10 pain scale
3. Urinary output of 200 mL higher than intake
4. Blood pressure, 100/50 mm Hg; pulse, 130 beats per minute
660. The client newly diagnosed with chronic kidney disease recently has begun
hemodialysis. Knowing that the client is at risk for disequilibrium syndrome,
the nurse should assess the client during dialysis for which associated
manifestations?
1. Hypertension, tachycardia, and fever
2. Hypotension, bradycardia, and hypothermia
3. Restlessness, irritability, and generalized weakness
4. Headache, deteriorating level of consciousness, and twitching

Answers

641. Answer: 1, 2, 4

Rationale: The normal potassium level is 3.5 to 5.0 mEq/L (3.5 to 5.0 mmol/L). A

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