38. A nurse is caring for an adult client who is admitted with dehydration and is experiencing fluid volume deficit (FVD). The nurse is implementing the plan of care and is monitoring the client’s fluid volume status. Which of the following assessments should the nurse prioritize to best evaluate the client’s progression of fluid volume deficit?

18. After an arteriovenous graft is inserted in a patient’s right forearm, the patient reports pain and coldness in the right fingers. Which action would the nurse take?

44. A nurse is caring for a client who is 24 hours post-renal transplant. The client is stable, but the nurse is monitoring closely for potential complications. Which of the following findings would be of most concern and require immediate intervention?

30. A nurse is caring for a patient who has chronic urinary retention. The patient reports a slow urine stream and a feeling of bladder fullness. The nurse assesses the patient’s post-void residual (PVR) urine volume and finds it to be 400 mL. Based on the assessment, which of the following actions is most appropriate for the nurse to take?  

14. The nurse is receiving report on several patients.  Which of the following would the nurse evaluate first? 

22. A nurse is caring for a client who has chronic kidney disease (CKD) and states she has heartburn. The provider prescribes aluminum hydroxide. The client asks, “Why can’t I just take the antacid magaldrate (Mylanta) my husband has at home?” The nurse explains to the client that aluminum hydroxide is the preferred antacid because it lowers which of the following?

20. Which assessment finding would the nurse expect when a patient with acute kidney injury (AKI) has an arterial blood pH of 7.30?

39. The nurse is caring for several clients on the medical-surgical unit and performing shift assessments.  The nurse understands which assessment findings correlate with each condition.  Match the following with the appropriate condition. 

34. A nurse is educating a client with newly diagnosed autosomal dominant polycystic kidney disease (ADPKD) who is starting tolvaptan (Jynarque). The nurse explains that tolvaptan inhibits vasopressin and helps to slow the progression of kidney cyst growth. Which of the following factors should be reported to the healthcare provider before initiation of the medication?

25. A 76-year-old female patient with a history of renal impairment is diagnosed with a urinary tract infection (UTI) and prescribed nitrofurantoin. The nurse is reviewing the patient’s medical record and notices that her most recent creatinine clearance is significantly lower than normal.  Which of the following actions should the nurse prioritize?