A client with a past medical history of chronic kidney disease has just completed their daily peritoneal dialysis. Which of the following clinical findings should the nurse expect to find when assessing the client?

Hematuria

Weight loss

Hypertension

Increased urine output

Answer and Explanation

The Correct Answer is C

A. Hematuria is not a typical finding after peritoneal dialysis, although it can occur in some clients with kidney disease.

B. Weight loss is not expected after dialysis; it is more likely to stabilize fluid balance and remove excess fluid.

C. Hypertension can be expected in clients with chronic kidney disease, as the kidneys play a key role in regulating blood pressure.

D. Increased urine output is not typically seen in clients with chronic kidney disease, especially after dialysis.

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Correct Answer is C

Explanation

A. Slowing the rate of dialysis may be appropriate if the hypotension persists, but the priority action is to improve circulation immediately.

B. Zofran is used to treat nausea, but it is not the priority in this case.

C. Placing the client in a modified Trendelenburg’s position (head down, feet up) helps improve circulation and increase blood pressure.

D. Administering oxygen may be helpful if oxygen saturation is low, but the primary concern here is addressing hypotension and improving circulation.

A. This occurred because there was an obstruction of urine flow from the kidneys B. This occurs because there was a decrease in blood flow to the kidneys C. This occurred because there was structural damage to the kidneys resulting in acute tubular necrosis D. This occurred because a blood cat formed in the kidneys

Correct Answer is B

Explanation

A. Obstruction of urine flow can lead to prerenal or postrenal acute kidney injury, but hypovolemic shock is a cause of decreased blood flow to the kidneys, not obstruction.

B. Hypovolemic shock leads to decreased blood flow to the kidneys, which can cause acute renal failure. This is the most appropriate cause of acute renal failure in the context of hypovolemic shock.

C. Acute tubular necrosis is a result of prolonged ischemia or direct kidney injury and may follow decreased blood flow, but the primary cause in this case is hypovolemic shock.

D. A blood clot in the kidneys may cause acute renal failure but is not the typical cause in hypovolemic shock.

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A client with a past medical history of chronic kidney disease has just completed their daily peritoneal dialysis. Which of the following clinical findings should the nurse expect to find when assessing the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During dialysis, the client becomes nauseous, reports feeling dizzy, and is hypotensive. What should the nurse do FIRST?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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