Acute Renal Failure Quiz

Generate an image depicting a healthcare professional assisting a patient with renal issues in a medical setting, focusing on dialysis and patient care.

Acute Renal Failure Quiz

Test your knowledge on the management and treatment of acute renal failure with this comprehensive quiz. Whether you're a nursing student, a healthcare professional, or someone interested in nephrology, this quiz will challenge your understanding and help reinforce essential concepts.

You will encounter questions about:

Dialysis procedures
Signs of complications
Patient care during renal crises
Dietary considerations for patients

21 Questions5 MinutesCreated by MonitoringKidney321

Which of the following abnormal blood values would not be improved by dialysis

Elevated serum creatinine level.

Decreased hemoglobin concentration.

Decreased serum sodium level.

Elevated serum creatinine level.

Elevated serum potassium level

A client has been admitted with acute renal failure. What should the nurse do? Select all that apply.

1. Elevate the head of the bed 30 to 45 degrees.

2. Take vital signs

3. Establish an I.V. Access site.

4. Call the admitting physician for orders.

5. Contact the hemodialysis unit.

A client is to receive peritoneal dialysis. To prepare for the procedure, the nurse should?

1. Assess the dialysis access for a bruit and thrill.

2. Insert an indwelling urinary catheter and drain all urine from the bladder.

3. Ask the client to turn toward the left side.

4. Warm the solution in the warmer.

A client with early acute renal failure has anemia, tachycardia, hypotension, and shortness of breath. The physician has ordered 2 units of packed red blood cells (RBCs). Prior to initiating the blood transfusion the nurse should determine if? Select all that apply.

There is an I.V. Access with the appropriate tubing and normal saline as the priming solution

There is a signed informed consent for transfusion therapy

Blood typing and cross-matching is documented in the medical record?

The vital signs have been taken and documented in accordance with facility policy and procedure?

There is the second unit of blood in the medication room?

The client has an identification bracelet and red blood band?

There is an I.V. Access with the appropriate tubing and normal saline as the priming solution

There is a signed informed consent for transfusion therapy

Blood typing and cross-matching is documented in the medical record?

The vital signs have been taken and documented in accordance with facility policy and procedure?

There is the second unit of blood in the medication room?

The client has an identifi cation bracelet and red blood band?

A client is receiving continous ambulatory peritoneal dialysis (CAPD). The nurse should assess the client for which of the following signs of peritoneal infection?

The client asks about diet changes when using continuous ambulatory peritoneal dialysis (CAPD). Which of the following would be the nurse’s best response?

Diet restrictions are more rigid with CAPD because standard peritoneal dialysis is a more effective technique.”

Diet restrictions are the same for both CAPD and standard peritoneal dialysis.”

“Diet restrictions with CAPD are fewer than with standard peritoneal dialysis because CAPD works more quickly.”

Diet restrictions with CAPD are fewer than with standard peritoneal dialysis because dialysis is constant.”

A client with chronic renal failure has asked to be evaluated for a home continuous ambulatory peritoneal dialysis (CAPD) program. The nurse should explain that the major advantage of this approach is that it:

Allows the client to be more independent.

Is relatively low in cos

Is faster and more efficient than standard peritoneal dialysis

Has fewer potential complications than standard peritoneal dialysis

After completion of peritoneal dialysis, the nurse should expect the client to exhibit which of the following characteristics?

Hematuria

Hypertension

Increased urine output

Weight loss

The client in acute renal failure has an external cannula inserted in the forearm for hemodialysis. Which of the following nursing measures is appropriate for the care of this client?

Use the unaffected arm for blood pressure measurements

Draw blood from the cannula for routine laboratory work

Percuss the cannula for bruits each shift

Inject heparin into the cannula each shift

The nurse initiates the client’s first hemodialysis treatment. The client develops a headache, confusion, and nausea. The nurse should assess the client further for

Disequilibrium syndrome

Peritonitis

Air embolism

Myocardial infarction

During dialysis, the client has disequilibrium syndrome. The nurse should first?

Reassure the client that the symptoms are norma

Place the client in Trendelenburg’s position

Slow the rate of dialysis

Administer oxygen per nasal cannula

The client receives heparin while receiving hemodialysis. The nurse explains the rationale supporting anticoagulation by making which of the following statements?

Regional anticoagulation is achieved by putting heparin in the dialysis machine and protamine sulfate, which reverses the anticoagulation, in the client.”

You will receive warfarin sodium (Coumadin) to maintain anticoagulation between treatments.”

Heparin does not enter the body, so there is no risk of bleeding.”

�Clotting time is seriously prolonged for several hours after each treatment.”

The nurse teaches the client how to recognize signs and symptoms of infection in the shunt by telling the client to assess the shunt each day for:

Absence of a bruit.

Sluggish capillary refill time.

Swelling at the shunt site.

Coolness of the involved extremity.

The client performs his own peritoneal dialysis. What should the nurse teach the client about preventing peritonitis? Select all that apply.

Clean technique is permissible for prevention of peritonitis.

Antibiotics may be added to the dialysate to treat peritonitis.

Broad-spectrum antibiotics may be administered to prevent infection.

Peritonitis is the most common and serious complication of peritoneal dialysis.

Peritonitis is characterized by cloudy dialysate drainage and abdominal discomfort.

During dialysis, the nurse observes that the fl ow of dialysate stops before all the solution has drained out. The nurse should:

Turn the client from side to side.

Reposition the peritoneal catheter.

Have the client walk.

Have the client sit in a chair.

During the client’s dialysis, the nurse observes that the solution draining from the abdomen is consistently blood-tinged. The client has a permanent peritoneal catheter in place. Which interpretation of this observation would be correct?

Bleeding indicates abdominal blood vessel damage.

Bleeding is expected with a permanent peritoneal catheter.

Bleeding can indicate kidney damage.

Bleeding is caused by too-rapid infusion of the dialysate

Which of the following assessments would be most appropriate for the nurse to make while the dialysis solution is dwelling within the client’s abdomen?

Assess for urticaria

Check capillary refill time

Monitor electrolyte status

Observe respiratory status

A client with chronic renal failure who receives hemodialysis three times a week is experiencing severe nausea. What should the nurse advise the client to do to manage the nausea? Select all that apply.

Drink fluids before eating solid foods.

Have limited amounts of fluids only when thirsty.

Limit activity.

Keep all dialysis appointments.

Eat smaller, more frequent meals.

What is the primary disadvantage of using peritoneal dialysis for long-term management of chronic renal failure?

The danger of hemorrhage is high

It cannot correct severe imbalances

It is a time-consuming method of treatment

The risk of contracting hepatitis is high

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Acute Renal Failure Quiz

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