A client is placed on fluid restrictions because of chronic ...

[Bob-Dole]

A client is placed on fluid restrictions because of chronic kidney disease (CKD). Which assessment finding would alert the nurse that the client's fluid balance is stable at this time?
 
  a. Decreased calcium levels
  b. Increased phosphorus levels
  c. No adventitious sounds in the lungs
  d. Increased edema in the legs

Question 2

A client with chronic kidney disease (CKD) is experiencing nausea, vomiting, visual changes, and anorexia. Which action by the nurse is best?
 
  a. Check the client's digoxin (Lanoxin) level.
  b. Administer an anti-nausea medication.
  c. Ask if the client is able to eat crackers.
  d. Get a referral to a gastrointestinal provider.

[bd5255]

Answer to Question 1

ANS: C
The absence of adventitious sounds upon auscultation of the lungs indicates a lack of fluid overload and fluid balance in the client's body. Decreased calcium levels and increased phosphorus levels are common findings with CKD. Edema would indicate a fluid imbalance.

Answer to Question 2

ANS: A
These signs and symptoms are indications of digoxin (Lanoxin) toxicity. The nurse should check the level of this medication. Administering antiemetics, asking if the client can eat, and obtaining a referral to a specialist all address the client's symptoms but do not lead to the cause of the symptoms.

[Bob-Dole]

Excellent

[Liamb2179]

TYSM