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Week 4 shepath
Week 4 NCO Nursing Management of Acute Kidney Injury and Chronic Kidney Disease
| Question | Answer |
|---|---|
| In the geriatric patient, which risk factors can the nurse address to reduce the risk of developing acute kidney injury (AKI)? | - Immobility - Dehydration - Hypotension - Urinary Tract Infection |
| Which patient goals can be met by providing education to a patient with AKI? | - The patient will have decreased anxiety - The patient will have fluid and electrolyte - The patient will comply with treatment and follow up care |
| A nurse is caring for a client who has Chronic Kidney Disease (CKD). Which statement made by the client would warrant further teaching? | “Once this kidney problem resolves, I can change my eating patterns.” |
| A patient has regained renal function after AKI. Follow-up care appointments are scheduled, including renal function tests. In which other ways should the nurse help a patient prevent AKI? | -- Explain signs and symptoms of recurrent AKI - -Provide information about specific preventative measures - - Explain the importance of self care and encourage the patient to be active in his or her overall improvement of health |
| The nurse is concerned that a patient with CKD is not following an appropriate diet. Which patient education strategy would be the most effective to improve compliance? | Encourage the patient to keep appointments with the dietician |
| A patient with chronic kidney disease (CKD) complains about being “constantly thirsty” due to fluid restrictions. Which is the best recommendation that the nurse should give to this patient? | Suck on hard candy |
| A new graduate nurse is caring for an older adult patient who has acute kidney injury. Which statement made by the new graduate nurse would warrant further teaching? | “The patient does not have a fever, so further assessment is not required.” |
| During assessment, a patient with CKD states her or she is taking stinging nettle (herbal supplement) for hay fever. How can the nurse improve the nursing care for this patient? | - Allow the patient to have input regarding his or her care. - Discuss the treatment plan and therapeutic regimen while allowing the patient to have - Discuss alternatives for hay fever treatment that do not modulate fluid volumes or blood pressure |
| The nurse is caring for a patient with AKI who has an infection. Which order should the nurse question? | Antibiotic therapy |
| A patient with AKI presents to the emergency department with burns. What are the major nursing education concerns for this patient upon discharge? | - Preventing infection - Preventing fluid loss - Preventing electrolyte imbalances |
| Which signs and symptoms should the nurse tell a patient with chronic kidney disease (CKD) to report immediately? | - Increasing lethargy - Weight change from 145 lb to 150 lb - Development of headaches or dizziness - Shortness of breath |
| A nurse is caring for a patient with chronic kidney disease (CKD) who is on a drug therapy regimen. Which patient statement should prompt the nurse to provide further patient education? | “I will take my calcium and iron supplements at 3 p.m. since it is between meals.” |
Created by:
Brandi Sizemore
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