Because of difficulties with hemodialysis, peritoneal dialysis is initiated to treat a client's uremia. Which finding during this procedure signals a significant problem?

White blood cell (WBC) count of 20,000/mm3

Blood glucose level of 200 mg/dl

Potassium level of 3.5 mEq/L

Hematocrit (HCT) of 35%

Answer and Explanation

The Correct Answer is A

A. WBC count of 20,000/mm³ indicates a possible infection, such as peritonitis — a serious and common complication of peritoneal dialysis that requires immediate intervention.
B. Blood glucose of 200 mg/dL can occur with glucose-based dialysate, especially in diabetic clients, and is managed medically.
C. Potassium of 3.5 mEq/L is at the low-normal range and not an immediate concern.
D. Hematocrit of 35% is within a relatively acceptable range and not typically urgent.

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Correct Answer is C

Explanation

A. "You'll have to ask your doctor" is inappropriate; nurses are responsible for providing accurate patient education within their scope of practice.
B. "We'll find out if any medications, such as steroids..." is misleading; while medications may affect kidney function, the serum creatinine test specifically reflects kidney filtration ability, not drug levels.
C. "This test will tell your doctor how your kidneys are functioning" is the best response, as serum creatinine is a key indicator of renal function.
D. "This test will tell if you have severe renal impairment..." is too limited; while elevated creatinine may suggest severe impairment, it is used more broadly to assess overall kidney function.

A. "I can expect to have swelling in my face." B. "I should increase my sodium intake." C. I should expect my provider to prescribe a kidney biopsy D. I will lose protein in my urine."

Correct Answer is B

Explanation

A. Swelling in the face (especially around the eyes) is a common symptom of nephrotic syndrome due to fluid retention from low albumin levels.
B. Increasing sodium intake is incorrect; clients with nephrotic syndrome should follow a low-sodium diet to help control edema. This statement indicates a need for further teaching.
C. A kidney biopsy may be ordered to determine the underlying cause of nephrotic syndrome, so this statement is accurate.
D. Proteinuria is a hallmark feature of nephrotic syndrome, and this is a correct understanding.

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Because of difficulties with hemodialysis, peritoneal dialysis is initiated to treat a client's uremia. Which finding during this procedure signals a significant problem?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who will have blood sampling for a serum creatinine level and asks what this test shows. Which of the following responses should the nurse make?

Correct Answer is C

Explanation

A nurse is providing teaching to a client who has nephrotic syndrome. The nurse should recognize that which of the following client statements indicates a need for further teaching?

Correct Answer is B

Explanation

A nurse is reviewing the laboratory data of a client following a hemodialysis treatment. The nurse should expect to find a decrease in which of the following laboratory values?

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During the diuresis period of acute kidney injury (AKI), the nurse should observe the client closely for which complication?

A nurse is teaching a client who has acute kidney injury about the oliguric phase. Which of the following information should the nurse include in the teaching?

A nurse is assessing a client who has fluid volume deficit. The nurse should expect which of the following findings?

A nurse is caring for four clients on the urology unit. Which of the following clients should the nurse plan to teach about kidney stone prevention?

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