A hypertension b crackles c dehydration d jugular

a. Hypertension
b. Crackles
c. Dehydration
d. Jugular venous distention
18. The nurse is caring for a client postoperative day 4 following a kidney transplant. When
assessing for potential signs and symptoms of transplant rejection, what assessment should
the nurse prioritize?
a. Assessment of the incision site for any bleeding or infection
b. Assessment for the quanti ty of the client’s urine output
c. Assessment of the client’s oxygen saturation
d. Assessment of the client’s abdominal girth
19. The nurse recognizes that that a patient with a spinal cord injury (SCI) is at risk for muscle
spasticity. How can the nurse best prevent this complication of an SCI?
a. Perform passive range of motion exercises as ordered
b. Ensure adequate hydration and keep wrinkle free bed linen
c. Support the knees with a pillow when the patient is in bed
d. administer low dose anticoagulant
20. which nursing action can be implemented to prevent acute kidney injury? Select all that apply
a. closely monitor dosage and blood levels of nephrotoxic drugs
b. provide meticulous care to patient with indwelling catheter

c. maintain head of bed elevated >40 degrees
d. continued monitoring of urine output
e. treat hypotension promptly
21. a patient with a recent diagnosis of end-stage-kidney disease (ESKD) is scheduled to soon
begin hemodialysis. A nephrology nurse has been conducting extensive patient teaching in
anticipation of this treatment. What diet should the nurse recommend to minimize patient’s
risk of complications of weight gain?
a. Fluid restriction of 1500ml per day
b. Low protein, low sodium diet
c. High caloric diet, low calcium
d. Emphasis of leafy green vegetables
22. What should the nurse suspect when hourly assessment on a patient post-craniotomy exhibits
a urine output from a catheter of 1,500ml for two consecutive hours?
a. Adrenal crisis with hyperglycemia
b. Diabetes insipidus with decreased urine specific gravity
c. Syndrome of inappropriate antidiuretic hormone (SIADH) with decreased serum
osmolarity
d. Cushing syndrome with hypothermia
23. A patient has been admitted to the intensive care unit after developing acute kidney injury
(AKI). The nurse noted a decline in glomerular filtration rate and oliguria upon assessment.
The nurse should anticipate performing interventions to address which of the following
common health problems related to AKI?
a. Fluid volume deficit and hypotension
b. Azotemia and metabolic acidosis
c. Disseminated intravascular coagulation (DIC)
d. Hemolytic anemia and hyperbilirubinemia
24. A patient obtained an acceleration-deceleration injury in a motor vehicle collision. The patient
developed signs of cerebral edema and poor cerebral perfusion with a GBS of 8. While in the
intensive care unit, what would the nurse anticipate as part of the collaborative management
of care of this patient? Select all that apply
a. Maintain level of partial pressure of arterial carbon dioxide (PaCO2) at 20 to 25 mmHg
may prove beneficial
b. Improve cardia output with dobutamine and norepinephrine as prescribed
c. Administer osmotic diuretics
d.