A nurse is assessing a client who has chronic kidney disease... | ATI Med Surg Exam (IV)

Practice Question

A nurse is assessing a client who has chronic kidney disease (CKD) for fluid volume overload prior to scheduled hemodialysis. Which of the following methods provides a reliable measurement of the amount of fluid the client has retained since the last dialysis treatment?

Answer Choices:

A. Comparing the client's current weight to the last post-dialysis weight ✓ Correct Answer

B. Measuring the client's current creatinine and BUN levels.

C. Assessing the client's skin turgor and peripheral edema.

D. Auscultating the client's lung sounds for crackles.

Correct Answer:

Comparing the client's current weight to the last post-dialysis weight

Rationale:

⏺️ The most accurate and objective indicator of fluid accumulation in dialysis patients is weight change between treatments.

⏺️ Each kilogram gained is roughly equal to 1 liter of retained fluid.

⏺️ Subjective assessments like lung sounds or edema are helpful but not precise.

⏺️ This measurement guides fluid removal goals during dialysis.

Want to practice more questions like this?

This question is from ATI Med Surg Exam (IV) which contains 23 questions.

Start Full Exam View Exam Details

More Questions from This Exam

A client with chronic kidney disease (CKD) has a serum potassium level of 6.5 mEq/L. Which of the following medications removes excess potassium from the body?

Answer Choices:

A. Insulin and sodium bicarbonate

B. Calcium gluconate

C. Patiromer (Veltassa)

D. Lisinopril

View Full Question

The nurse is providing education to a male client who is newly- diagnosed with polycystic kidney disease. Which of the following statements should be included in the client teaching?

Answer Choices:

A. You will need to eat a high-potassium and high-protein diet

B. You may end up needing dialysis as the disease progresses.

C. You will need to undergo a vasectomy because people with this condition should not have children.

D. People with this genetic condition are not candidates for kidney transplant

View Full Question

A nurse is caring for a client who recently had a streptococcal infection of the throat, and is now experiencing new-onset flank pain. Urinalysis is positive for proteinuria and hematuria. The client's urine output for the past 24 hours has been 250 mL, and BUN and creatinine are elevated. On assessment, the nurse notes pitting edema to the bilateral lower extremities. Which of the following interventions is appropriate in the plan of care?

Answer Choices:

A. Encourage frequent ambulation.

B. Obtain weight weekly

C. Place the client on a low-protein diet.

D. Encourage increased fluid intake.

View Full Question

A female client has undergone surgery to remove a large struvite kidney stone. Based on the cause of struvite stones, which medication therapy should the nurse anticipate will be ordered to prevent recurrence of the stones?

Answer Choices:

A. Calcium gluconate

B. Antibiotics

C. Tamsulosin

D. Phosphate binders

View Full Question

Which of the following clients is at risk of developing acute kidney injury from a post-renal cause?

Answer Choices:

A. A client who is having an exacerbation of left-sided heart failure

B. A client with multiple sclerosis who has a flaccid bladder

C. A client who will receive contrast media for an MRI

D. A client who has thrombotic thrombocytopenic purpura

View Full Question

View All 23 Questions

From Exam

ATI Med Surg Exam (IV)

23 Questions

View Full Exam Start Practicing

Question Details

Category: RN - Nursing Exam(s)
Subcategory: ATI Exams
Domain: ATI MED-SURG
Answer Choices: 4

NursingSprint

Practice Question

A nurse is assessing a client who has chronic kidney disease (CKD) for fluid volume overload prior to scheduled hemodialysis. Which of the following methods provides a reliable measurement of the amount of fluid the client has retained since the last dialysis treatment?

Correct Answer:

Rationale:

Want to practice more questions like this?

More Questions from This Exam

A client with chronic kidney disease (CKD) has a serum potassium level of 6.5 mEq/L. Which of the following medications removes excess potassium from the body?

The nurse is providing education to a male client who is newly- diagnosed with polycystic kidney disease. Which of the following statements should be included in the client teaching?

A female client has undergone surgery to remove a large struvite kidney stone. Based on the cause of struvite stones, which medication therapy should the nurse anticipate will be ordered to prevent recurrence of the stones?

Which of the following clients is at risk of developing acute kidney injury from a post-renal cause?

From Exam

ATI Med Surg Exam (IV)

Question Details

Was this question helpful?

Share your thoughts

Comments (0)

Search Resources, Exams, Questions, Notes & Flashcards

Access Restricted:

Practice Question

A nurse is assessing a client who has chronic kidney disease (CKD) for fluid volume overload prior to scheduled hemodialysis. Which of the following methods provides a reliable measurement of the amount of fluid the client has retained since the last dialysis treatment?

Correct Answer:

Rationale:

Want to practice more questions like this?

More Questions from This Exam

A client with chronic kidney disease (CKD) has a serum potassium level of 6.5 mEq/L. Which of the following medications removes excess potassium from the body?

The nurse is providing education to a male client who is newly- diagnosed with polycystic kidney disease. Which of the following statements should be included in the client teaching?

A female client has undergone surgery to remove a large struvite kidney stone. Based on the cause of struvite stones, which medication therapy should the nurse anticipate will be ordered to prevent recurrence of the stones?

Which of the following clients is at risk of developing acute kidney injury from a post-renal cause?

From Exam

ATI Med Surg Exam (IV)

Question Details

Was this question helpful?

Share your thoughts

Comments (0)