A patient diagnosed with chronic kidney disease (CKD) would likely have

hypercalcemia; phosphate supplement.

metabolic alkalosis; low protein diet.

hypokalemia; diuretic medication.

hypertension; antihypertensive medication.

Answer and Explanation

The Correct Answer is D

A. Patients with CKD typically experience hypocalcemia rather than hypercalcemia due to impaired calcium absorption and phosphate retention, not necessitating phosphate supplements.

B. Metabolic acidosis is more common in CKD due to the accumulation of acid waste products, and while a low protein diet may be advised, it is not specifically linked to metabolic alkalosis.

C. Patients with CKD often have hyperkalemia due to impaired potassium excretion, rather than hypokalemia; diuretics can sometimes worsen this condition.

D. Hypertension is a common complication of CKD due to fluid overload, increased renin activity, and changes in vascular resistance; therefore, antihypertensive medication is often prescribed.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

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

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

A. An increased capillary refill time suggests reduced perfusion and may indicate decreased cardiac output, which is critical to assess in patients with atrial fibrillation as it can lead to hemodynamic instability.

B. A rumbling heart murmur may suggest valvular disease but is not specifically indicative of decreased cardiac output in this scenario.

C. Intermittent claudication typically indicates peripheral arterial disease and is not a direct sign of decreased cardiac output.

D. Jugular venous distension can indicate fluid overload or right-sided heart failure, but it is not the most direct indicator of decreased cardiac output compared to capillary refill time.

A. Bleeding in the brain. B. Anxiety. C. Kidney failure. D. Extreme vomiting.

Correct Answer is C

Explanation

A. Bleeding in the brain could cause neurological symptoms but does not directly correlate with the respiratory acidosis indicated by the ABGs.

B. Anxiety typically leads to respiratory alkalosis due to hyperventilation, which does not align with the results showing acidemia.

C. The ABG results indicate a primary respiratory acidosis (low pH and elevated PCO2), which can occur in kidney failure due to the kidneys' inability to excrete acids and manage bicarbonate, leading to an accumulation of CO2.

D. Extreme vomiting is associated with metabolic alkalosis due to loss of gastric acid, which does not explain the acid-base disturbance presented.

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 patient diagnosed with chronic kidney disease (CKD) would likely have

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which assessment finding alerts the nurse to the possibility of decreased cardiac output in the patient who suddenly develops atrial fibrillation?

Correct Answer is A

Explanation

ABGs are drawn on a patient. The results are: pH = 7.30. PCO2 = 50, PO2 = 80. HCO3 = 25. What mechanism might cause this disturbance?

Correct Answer is C

Explanation

A young girl with a history of asthma is brought to her family nurse practitioner (FNP). The child is wheezing and has prolonged expirations. The basic etiology of her signs and symptoms (S&S) includes:

A patient diagnosed with cor pulmonale would most benefit from _____because___________

A woman presents to a clinic with JVD (jugular venous distension), liver congestion, ascites, and ankle edema. Upon auscultation of her heart, the RN notes a murmur. The etiologies that would best account for all aspects of this patient picture are

The signs and symptoms (S&S) of respiratory failure may be identified in the patient who has a(n):

A patient presents with acute oliguria. Lab tests are done to pinpoint the cause. The nurse believes the patient has developed intra-renal acute kidney injury (AKI), based on which typical finding?

A patient has had chronic kidney disease (CKD) for many years. The patient sustains a hip fracture. The high risk of fractures is related to a(n)

A patient is admitted to the emergency department with left-sided chest trauma. Which statement best identifies why the formation of a tension pneumothorax can result in a life-threatening condition for this patient?