Crowdly

1-2 hours

7-8 hours

4-6 hours

12 hours

A nurse is caring for a client receiving peritoneal dialysis (PD) and notices that the flow of dialysate is insufficient.

Which of the following nursing interventions is inappropriate for addressing this problem?

Position client in a supine low-Fowler's position

❌

Check system for kinking or twisting

Ensure drainage bag is placed below the abdomen

Flush the catheter with normal saline using turbulent stop-start technique

A critically ill client is receiving continuous renal replacement therapy (CRRT) for acute kidney injury. Which of the following statements is true regarding CRRT?

Total daily intake is calculated and then removed hourly using CRRT therapy

Hypotension is attributed to CRRT more frequently than hemodialysis

CRRT never uses dialysate

CRRT removes large volumes of fluid over 3-4 hours

The nurse is caring for a client who has oliguria as a result of acute kidney injury (AKI).

Which of the following symptoms is a priority assessment?

A nurse taps the front of a client's ear and suddenly the facial muscles on the same side begin to contract.

Pulmonary edema

Hypotension

Which of the following electrolyte imbalances does this assessment finding indicate?

Hypokalemia

Hypocalcemia

Hyperkalemia

Hypercalcemia

Follow-up is required if the nurse states complications of hemodialysis include:

The nurse is reviewing complications with a client beginning hemodialysis.

Bradycardia

Muscle cramps

Hypotension

Blood loss

❌

Which of the following actions has the highest priority?

A client with acute kidney injury (AKI) has a serum potassium level of 6.5 mEq/L (6.5 mmol/L).

Reference Ranges:

Potassium: 3.5-5.0 mEq/L (3.5-5.0 mmol/L)

Contact the health care provider about discontinuing potassium-sparing drugs

Place the client on a cardiac monitor

Prepare the client for dialysis

Provide client teaching about avoiding foods high in potassium

Which of the following is NOT a symptom of AKI caused by the imbalance of electrolytes or accumulation of waste?

Fatigue

Diarrhea

❌

Arrhythmias

Flank pain