Welcome to the NCLEX Renal Questions. Before you begin answering this questions, I recommend that you start from the beginning:
NCLEX Renal Questions (1-7)
51. A client has an arteriovenous (AV) fistula in place in the right upper extremity for hemodialysis treatments. When planning care for this client, which of the following measures should the nurse implement to promote client safely?
a) take blood pressures only on the right arm to ensure accuracy
b) use the fistula for all venipunctures and intravenous infusions
c) ensure that small clamps are attached to the AV fistula dressing
d) assess the fistula for the presence of a bruit and thrill every 4 hours
52. A nurse is assessing a client who is diagnosed with cystitis. Which assessment finding is inconsistent with the typical clinical manifestations noted in this disorder?
a) hematuria
b) low back pain
c) urinary retention
d) burning on urination
53. A client with urolithiasis is scheduled for extracorporeal shock wave lithotripsy (ESWL). The nurse assesses to ensure that which of the following items are in place or maintained before sending the client for the procedure?
a) IV line and a foley catheter
b) NPO status and a foley catheter
c) signed informed consent, NPO status, and an IV line
d) signed informed consent and clear liquid restriction preprocedure
54. The home care nurse is making follow-up visits to a client following renal transplant. The nurse assesses the client for which signs of acute graft rejection?
a) hypotension, graft tenderness, and anemia
b) hypertension, oliguria, thirst, and hypothermia
c) fever, hypertension, graft tenderness, and malaise
d) fever, vomiting, hypotension, and copious amounts of dilute urine
55. A client is scheduled for computed tomography (CT) of the kidneys to rule out renal disease. As an essential preprocedure component of the nursing assessment, the nurse plans to ask the client about a history of:
a) familial renal disease
b) frequent antibiotic use
c) long-term diuretic therapy
d) allergy to shellfish or iodine
NCLEX Renal Questions:
Answers and Rationale
51) D
- Arteriovenous fistulas are created by anastomosis of an artery and a vein within the subcutaneous tissues to create access for hemodialysis. Fistulas should be evaluated for presence of thrills (palpate over the area) and bruits (auscultate with a stethoscope) as an assessment of patency.52) C
- Clinical manifestations of cystitis usually include urinary frequency, urgency, dysuria, inability to void, or voiding only small amounts. The urine may be cloudy, with hematuria and bacteriuria. The client may complain of pain that is suprapubic or in the lower back. Nonspecific signs include fever, chills, malaise, and nausea and vomiting. Some clients may be asymptomatic, particularly the older client.53) C
- ESWL is done with conscious sedation or general anesthesia. The client must sign an informed consent form for the procedure and must be NPO for the procedure. The client needs an IV line for the procedure as well. A Foley catheter is not needed.54) C
- Acute rejection usually occurs within the first 3 months after transplant, although it can occur for up to 2 years posttransplant. The client exhibits fever, hypertension, malaise, and graft tenderness. Treatment is immediately begun with corticosteroids and possibly also with monoclonal antibodies and antilymphocyte agents.55) D
- The client undergoing any type of diagnostic testing involving possible dye administration should be questioned about allergy to shellfish or iodine. This is essential to identify the risk for potential allergic reaction to contrast dye, which may be used. The other items are also useful as part of the assessment but are not as critical as the allergy determination in the preprocedure period.After you reviewed your answers through its rationale, you can now proceed to the next set of questions:
NCLEX Renal Questions (56-60)
Posts
0 comments:
Post a Comment