A client is diagnosed with chronic kidney disease (CKD). What is ...

[dalyningkenk]

A client is diagnosed with chronic kidney disease (CKD). What is an ideal goal of treatment set by the nurse in the care plan to reduce the risk of pulmonary edema?
 
  a. Maintaining oxygen saturation of 89
  b. Minimal crackles and wheezes in lung sounds
  c. Maintaining a balanced intake and output
  d. Limited shortness of breath upon exertion

Question 2

A client is taking furosemide (Lasix) 40 mg/day for management of chronic kidney disease (CKD). To detect the positive effect of the medication, what action of the nurse is best?
 
  a. Obtain daily weights of the client.
  b. Auscultate heart and breath sounds.
  c. Palpate the client's abdomen.
  d. Assess the client's diet history.

[blakcmamba]

Answer to Question 1

ANS: C
With an optimal fluid balance, the client will be more able to eject blood from the left ventricle without increased pressure in the left ventricle and pulmonary vessels. Other ideal goals are oxygen saturations greater than 92, no auscultated crackles or wheezes, and no demonstrated shortness of breath.

Answer to Question 2

ANS: A
Furosemide (Lasix) is a loop diuretic that helps reduce fluid overload and hypertension in clients with early stages of CKD. One kilogram of weight equals about 1 liter of fluid retained in the client, so daily weights are necessary to monitor the response of the client to the medication. Heart and breath sounds should be assessed if there is fluid retention, as in heart failure. Palpation of the client's abdomen is not necessary, but the nurse should check for edema. The diet history of the client would be helpful to assess electrolyte replacement since potassium is lost with this diuretic, but this does not assess the effect of the medication.

[dalyningkenk]

Excellent

[milbourne11]

TYSM