A client scheduled for a CT scan of the abdomen with contrast has a baseline creatinine level of 2.3 mg/dL. In preparing this client for the procedure, the nurse anticipates what orders?

Preprocedure hydration with 0.45% NaCl

Administration of acetylcysteine

Hemodialysis immediately prior to the CT scan

Obtain a creatinine clearance by collecting a 24-hour urine specimen.

Answer and Explanation

The Correct Answer is B

A. Preprocedure hydration with 0.45% NaCl may be considered, but isotonic fluids like 0.9% NaCl are generally preferred to help flush the contrast agent.
B. Administration of acetylcysteine is commonly ordered to help reduce the risk of contrast-induced nephropathy in clients with elevated creatinine levels.
C. Hemodialysis prior to the CT scan is not routinely performed unless the client is already dialysis-dependent.
D. Creatinine clearance via 24-hour urine is not an urgent pre-procedure requirement; the elevated serum creatinine already indicates impaired renal function.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is C

Explanation

A. Wrapping the AV fistula in gauze is not necessary unless there's a dressing for a new fistula or bleeding — routine wrapping is not recommended.
B. Taking blood pressure in the arm with an AV fistula is contraindicated because it can damage the fistula.
C. Assessing for a bruit (with a stethoscope) and a thrill (by palpation) is essential to confirm that the AV fistula is functioning properly for dialysis.
D. While keeping the area clean is important, keeping it dry is not a specific routine requirement unless directed due to a wound or infection.

A. Hypercalcemia B. Hyperkalemia C. Hypernatremia D. Hypophosphatemia

Correct Answer is B

Explanation

A. Hypercalcemia is not typically associated with prerenal AKI; calcium levels may be normal or low.
B. Hyperkalemia is common in AKI due to impaired renal excretion of potassium, especially in prerenal cases where perfusion is decreased.
C. Hypernatremia is less common; more often, dilutional hyponatremia may occur if fluid shifts are present.
D. Hypophosphatemia is not typical; phosphate levels tend to rise in AKI due to decreased excretion.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A client scheduled for a CT scan of the abdomen with contrast has a baseline creatinine level of 2.3 mg/dL. In preparing this client for the procedure, the nurse anticipates what orders?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with a history of chronic renal failure receives hemodialysis treatments three times per week through an arteriovenous (AV) fistula in the left arm. Which intervention should the nurse include in the care plan?

Correct Answer is C

Explanation

A nurse is reviewing the laboratory test results from a client who has prerenal acute kidney injury (AKI). Which of the following electrolyte imbalances should the nurse expect?

Correct Answer is B

Explanation

A nurse is admitting a client who has pyelonephritis. Which of the following manifestations should the nurse expect to be present during the assessment (Select All that Apply.)

A nurse is teaching a group of nursing students about pyelonephritis. Which of the following statements should the nurse include in the teaching?

A client scheduled for a CT scan of the abdomen with contrast has a baseline creatinine level of 2.3 mg/dL. In preparing this client for the procedure, the nurse anticipates what orders?

A client with chronic renal failure (CRF) is receiving hemodialysis treatment. After hemodialysis, the nurse knows that the client is most likely to experience:

A nurse is caring for an older adult client who has a urinary tract infection (UTI). Which of the following manifestations should the nurse identify as a finding specifically associated with this client?

A nurse is reviewing laboratory values for a client who has systemic lupus erythematosus (SLE). Which of the following values should give the nurse the best indication of the client's renal function?

A nurse is providing discharge teaching to a client who will be performing peritoneal dialysis at home. Which of the following statements from the client indicates understanding of this type of dialysis management? (Select All that Apply.)