Exam (elaborations)
Capstone Exam Questions & Detailed Answers
- Course
- Capstone Liver
- Institution
- University Of California - San Francisco
Capstone Exam Questions & Detailed Answers
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Capstone Exam Questions & Detailed AnswersA client with acute kidney injury has a serum potassium level of 7.0 mEq/L. The
nurse should plan which actions as a priority? Select all that apply.
1. place the client on a cardiac monitor
2. notify the HCP
3. put the client on NPO status except for ice chips
4. review the client's medications to determine if any contain or retain potassium
5. allow an extra 500 mL of intravenous fluid intake to dilute the electrolyte
concentration - ANS 1. place the client on a cardiac monitor
2. notify the HCP
4. review the client's medications to determine if any contain or retain potassium
A client being hemodialyzed suddenly becomes short of breath and complains of
chest pain. The client is tachycardic, place, and anxious and the nurse suspects air
embolism. What are the priority nursing actions? Select all that apply.
1. administer oxygen to the client
2. continue dialysis at a slower rate after checking the lines for air
3. notify the HCP and RRT
4. stop dialysis, and turn the client on the left side with head lower than feet
5. bolus the client with 500 mL of normal saline to break up the air embolus - ANS
1. administer oxygen to the client
3. notify the HCP and RRT
,4. stop dialysis, and turn the client on the left side with head lower than feet
A client arrives at the emergency department with complaints of low abdominal
pain and hematuria. The client is afebrile. The nurse next assess the client to
determine a history of which condition?
1. pyelonephritis
2. glomerulonephritis
3. trauma to the bladder or abdomen
4. renal cancer in the client's family - ANS 3. trauma to the bladder or abdomen
The nurse discusses plans for future treatment options with a client with
symptomatic polycystic kidney disease. Which treatment should be included in this
discussion? Select all that apply.
1. hemodialysis
2. peritoneal dialysis
3. kidney transplant
4. bilateral nephrectomy
5. intense immunosuppression therapy - ANS 1. hemodialysis
3. kidney transplant
4. bilateral nephrectomy
A client is admitted to the ED following a fall from a horse and the HCP prescribes
insertion of a urinary catheter. While preparing for the procedure, the nurse notes
blood at the urinary meatus. The nurse should take which action?
,1. notify the HCP before performing the catheterization
2. use a small-sized catheter and an anesthetic gel as a lubricant
3. administer parenteral pain medication before inserting the catheter
4. clean the meatus with soap and water before opening the catheterization kit -
ANS 1. notify the HCP before performing the catheterization
The nurse is assessing the patency of a client's left arm arteriovenous fistula prior
to initiating hemodialysis. Which finding indicates that the fistula is patent?
1. palpation of a thrill over the fistula
2. presence of a radial pulse in the left wrist
3. visualization of enlarged blood vessels at the fistula site
4. capillary refill less than 3 seconds in the nail beds of the fingers on the left hand
- ANS 1. palpation of a thrill over the fistula
A male client ha a tentative diagnosis of urethritis. The nurse should assess the
client for which manifestation of the disorder?
1. hematuria and pyuria
2. dysuria and proteinuria
3. hematuria and urgency
4. dysuria and penile discharge - ANS 4. dysuria and penile discharge
The nurse is assessing a client with epididymitis. The nurse anticipates which
findings on physical examination?
1. fever, diarrhea, groin pain, and ecchymosis
, 2. nausea, painful scrotal edema, and ecchymosis
3. fever, nausea, vomiting, and painful scrotal edema
4. diarrhea, groin pain, testicular torsion, and scrotal edema - ANS 3. fever, nausea,
vomiting, and painful scrotal edema
A client complains of fever, perineal pain, and urinary urgency, frequency, and
dysuria. To assess whether the client's problem is related to bacterial prostatitis,
the nurse reviews the results of the prostate examination for which characteristic
of this disorder?
1. soft and swollen prostate gland
2. swollen and boggy prostate gland
3. tender and edematous prostate gland
4. tender indurated prostate gland that is warm to the touch - ANS 4. tender
indurated prostate gland that is warm to the touch
The nurse is collecting data from a client. Which symptom described by the client
is characteristic of an early symptom of benign prostatic hyperplasia?
1. nocturia
2. scrotal edema
3. occasional constipation
4. decreased force in the stream of urine - ANS 4. decreased force in the stream of
urine
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