Drug Card Heparin (Hep-Lock)

The tall, tented T waves noted on a patient’s EKG are indicative of:

Which symptom is considered the hallmark assessment finding in a patient with acute renal failure (ARF)?

A 35-year-old woman arrives at the ED complaining of nausea, vomiting, malaise, and a decreased urine output. She recently completed a 2-week course of cephradine (Velosef) for a UTI. Urinalysis reveals a sodium level of 40 mEq/L with a urine specific gravity of 1.0. Urine sediment includes casts, with few red blood cells (RBCs) or white blood cells (WBCs). Other laboratory findings include a serum BUN level of 40 mg/dL and a serum creatinine level of 4 mg/dL. Which condition is suggestive of the patient’s assessment findings?

After inserting a urinary catheter on a 58-year-old male, who complained of not being able to urinate for 3 days, and draining 2,500 mL of urine, the most important nursing intervention at this time would involve:

A 35-year-old woman arrives at the ED complaining of nausea, vomiting, malaise, and a decreased urine output. She recently completed a 2-week course of cephradine (Velosef) for a UTI. Urinalysis reveals a sodium level of 40 mEq/L with a urine specific gravity of 1.0. Urine sediment includes casts, with few red blood cells (RBCs) or white blood cells (WBCs). Other laboratory findings include a serum BUN level of 40 mg/dL and a serum creatinine level of 4 mg/dL. Which condition is suggestive of the patient’s assessment findings?

When administering PD dialysate solution, the nurse should assess for signs of:

A 52-year-old diabetic man with a 1-year history of chronic renal failure that is treated with continuous ambulatory peritoneal dialysis is unconscious when admitted to the ED. His blood pressure is 190/100 mmHg; serum potassium level, 7.8 mEq/L; serum BUN level, 200 mg/dL, and serum creatinine level, 10 mg/dL. Available medical records indicate that 2 years ago he had been receiving 28 units of NPH insulin daily. The nurse anticipates that the patient’s hyperkalemia will be treated with:

Which of the following laboratory tests would best indicate the patient may have renal insufficiency?

If a patient with acute renal failure (ARF) exhibits a pericardial friction rub, the nurse should immediately:

An end-stage renal patient has pulmonary edema, and peritoneal dialysis is required. In preparing for the setup of dialysis for the patient, which clinical procedure would the novice nurse be expect to perform?

A client with severe, uncontrolled hypertension is being evaluated for chronic kidney disease. The provider checks the glomerular filtration rate and determines that it is 22 mL/min. Which stage of chronic kidney disease does this GFR place the client?

A diabetic client has recently been diagnosed with stage one chronic kidney disease. Which of the following topics must the nurse include when teaching this client?

The nurse is caring for a client who has chronic kidney disease. Which of the following medications would the nurse question?

A provider has ordered a serum creatinine test for a client who is being assessed for chronic kidney disease. The client asks the nurse about the test. Which of the following responses correctly explains serum creatinine?

A client who has been diagnosed with chronic kidney disease is talking to the nurse about his overall health. Which best describes the difference between health promotion and disease management in this situation?

The nurse is caring for a client who has been diagnosed with chronic kidney failure. Which of the following aspects of this client’s history could have contributed to this?

The nurse is admitting a client with a history of chronic kidney disease. Which of the following lab values is inconsistent with chronic kidney disease?

An 18-year-old has chronic kidney insufficiency and must take an injection of growth hormone. He takes his own injections and his parents bring him to the healthcare clinic every four weeks for follow-up evaluation. What laboratory levels would need to be monitored in a client taking growth hormones?