Page 464 - Critical Care Nursing Demystified

FINAL EXAM QUESTIONS 449

5. Which of the following types of dialysis requires a temporary externally inserted
access site?
A. All types of dialysis
B. Only hemodialysis (HD)
C. Hemodialysis (HD) and continuous renal replacement therapy (CRRT)
D. Peritoneal dialysis

6. The nurse is assessing a patient for peritonitis before performing peritoneal
dialysis (PD). Which of the following assessment findings would confirm the
presence of peritonitis? Select all that apply.
A. Clotting of the PD catheter
B. WBCs 20,000 mm 3
C. Cloudy dialysate output
D. Tenderness at the insertion site
E. Temperature 97.2°F
F. Slightly blood-tinged exudate after PD catheter insertion
7. A patient with transient hypertension related to heart failure is admitted to your
unit. The nephrologist has ordered slow continuous ultrafiltration (SCUF) con-
tinuous renal replacement. As a nurse with experience performing this type of
dialysis, you know it is the treatment of choice for which of the following? 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.
A. Fluid volume overload
B. Cardiogenic shock
C. Disequilibrium imbalance
D. Severe azotemia

8. A patient on hemodialysis suddenly becomes hemodynamically unstable with
a mean arterial BP of 60. The best form of dialysis for this patient is
A. To continue with HD
B. Peritoneal dialysis
C. Intermittent HD
D. CRRT

9. A patient has been requiring chronic treatments of hemodialysis through a right
forearm arteriovenous (AV) graft. The nurse knows that planning this patient’s
care requires
A. Frequent BP monitoring in the right arm
B. IV sticks and laboratory work to be taken from the graft site
C. Notifying all members of the health care team to avoid BPs on the right arm
D. Starting IVs in the right arm