Page 411 - Critical Care Nursing Demystified

396 CRITICAL CARE NURSING DeMYSTIFIED

REVIEW QUESTIONS

1. A patient with acute renal failure (ARF) can have adverse cardiac signs and
symptoms. Check all of the cardiac symptoms below a nurse would see in a
patient with ARF.
A. Crackles
B. Severe pruritus
C. Uremic fetor
D. Melena
E. Pericardial friction rub
F. Lethargy

2. A nurse is analyzing the following arterial blood gases in a patient with renal
failure. Describe what is occurring in this arterial blood gas and how the kidneys
and lungs are involved.
pH = 7.32, pCO = 30, pO = 150, HCO = 18
2 2 3
3. The nurse suspects that a patient with acute renal failure (ARF) has early hyper-
kalemia. What 12-lead ECG changes would confirm this suspicion?
A. Shortened PR and QT intervals Downloaded by [ Faculty of Nursing, Chiangmai University 5.62.158.117] at [07/18/16]. Copyright © McGraw-Hill Global Education Holdings, LLC. Not to be redistributed or modified in any way without permission.
B. Tall, peaked T waves
C. A widened QRS measurement
D. Disappearing P waves
4. True or False. Predialysis and postdialysis weights are critical nursing care
procedures to perform in all three forms of dialysis.

5. A patient has ARF due to prerenal failure. Which of the following risk factors
would the nurse assess in a patient with prerenal failure?
A. Dehydration
B. Fluid overload
C. Kidney stones
D. Nephrotoxic medications
6. A patient has an arteriovenous (AV) fistula created for hemodialysis. At the
beginning of the shift, assessment of what vital information would be required
by the nurse to ensure proper functioning of this access site?
A. Enlarged arteries around the access area
B. A bruit and a thrill
C. A patient dialysis catheter exiting at the abdominal area
D. Distal pulses in the extremity as well as color, motor function, and sensation