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ATI MED SURG RN FLUID & ELECTROLYTE
BALANCE: CHRONIC RENAL FAILURE 3.0 CASE STUDY TEST
Question: 1 of 5
A nurse is caring for a client who has chronic kidney disease (CKD) and has developed
Kussmaul respirations. The nurse should identify that the client is experiencing which of the
following acid-base imbalances?
A. Respiratory acidosis
B. Respiratory alkalosis
C. Metabolic acidosis
D. Metabolic alkalosis
Answer: C. Metabolic acidosis
Question: 2 of 5
A nurse is caring for a client who has chronic kidney disease (CKD). The nurse should
monitor the client for which of the following manifestations of fluid overload?
A. Flat neck veins
B. Increased blood pressure
C. Weak pulse
D. Increased hematocrit
Answer: B. Increased blood pressure
Question: 3 of 5
A nurse is caring for a client who has chronic kidney disease (CKD). The client suddenly
develops restlessness and dyspnea, and the nurse auscultates crackles in the client's lungs.
Which of the following actions should the nurse take first?
A. Administer IV furosemide.
B. Obtain an oxygen saturation level.
C. Administer IV morphine sulfate.
D. Place the client in a high-Fowler’s position.
Answer: D. Place the client in a high-Fowler’s position.
Question: 4 of 5
A nurse is assessing a client who has chronic kidney disease (CKD). Which of the following
findings should the nurse identify as a manifestation of the early stages of CKD?
A. Polyuria
B. Hypotension
C. Increased appetite
D. Jaundice skin tone
Answer: A. Polyuria
Question: 5 of 5
A nurse is caring for a client who has chronic kidney disease (CKD). Which of the following
actions should the nurse take to manage fluid overload?
A. Obtain the client's blood pressure at least every 4 hr.
B. Weigh the client periodically throughout the day.
C. Measure the client's output every 8 hr.
D. Limit client's oral fluid intake to mealtimes.
Answer: A. Obtain the client's blood pressure at least every 4 hr.
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