Hesi case study chronic renal disease

What is the best
Description of CKD?
A fatal disorder unless renal replacement therapy is received
What additional information in Lou Ellen’s history may be r/t the onset of ESRD?
Hypertension
Which lab value is likely to be decreased in a client w/ CKD?
Serum CA+
What is the underlying patho causing this abnormal lab value?
Fewer red blood cells are being formed.
What is the correct interpretation of these ABGs?
Metabolic acidosis (compensated)

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Which additional assessment finding is consistent with ESRD?
Yellow-gray pallor
Which explanation best describes the patho resulting in her HTN?
Activation of the renin-angiotensin cycle and excretion of aldosterone causes HTN
Which assessment finding indicates to the nurse that the desired outcome of calcium acetate (phoslo) has been achieved ?
Serum phosphorus of 4.0
Which assessment should the nurse perform to determine if the desired outcome of the captopril (Capoten) has been achieved?
Blood pressure
Which assessment data indicates to the nurse that the desired outcome of the epoetin Alfa has been achieved ?
Conjunctival sac returns to a reddish pink color
Based on these Dx which nursing intervention should be included in louellens plan of care?
Monitor and record daily weights
The nurses response is based on what understanding?
Eggs are a source of high biological value protein
How much fluid will louellen be allowed to drink during the next 24 hours?
720 ml
What is the best nursing intervention?
Hold the dose
What intervention should the nurse implement ?
Ask to speak directly to the HCP
Which statement should serve as the basis for the nurse’s reply ?
Can be held accountable for admin of unsafe medication
17.
B
18.
C
19.
C
20.
B
21.
B
22
A
23
A
24
A
25
4.8
26
D
27
B,E
28
B
29
D
30
C
31
D
32
C
33
A
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