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
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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Related Questions
Correct Answer is D
Explanation
A. Weight loss is a common concern in clients with chronic kidney disease, but it is not the primary concern in this scenario.
B. Swelling in the legs may occur with renal dysfunction but is less concerning than abdominal tenderness, which is indicative of a possible peritoneal infection.
C. Itching in the upper chest may be a symptom of uremia, but abdominal tenderness is more urgent when ruling out a peritoneal infection.
D. Abdominal tenderness is a key sign of peritoneal infection, which requires immediate attention as it can lead to peritonitis.
Correct Answer is ["B","C","E"]
Explanation
A. Drawing daily labs: This is a clinical task that requires specialized knowledge and skills and should not be delegated to UAP.
B. Transport the urine specimen to the lab: This is a non-clinical task that UAP can perform.
C. Provide perineal care with soap and water around a urinary catheter: UAP can assist with perineal care as it is a routine task that does not require clinical judgment.
D. Insert the foley catheter: Inserting a Foley catheter is a sterile procedure requiring clinical expertise and cannot be delegated to UAP.
E. Assist the incontinent patient to the commode at regular intervals: UAP can assist with toileting and incontinence care.
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