A nurse is assessing a client following hemodialysis. Which of the following findings indicates dialysis disequilibrium?

Nosebleed

Malaise

Headache

Elevated temperature

Answer and Explanation

The Correct Answer is C

A. Nosebleed: A nosebleed is not typically associated with dialysis disequilibrium. It may be related to other factors like dry air or blood pressure changes, but it is not a classic symptom of dialysis disequilibrium.

B. Malaise: Malaise can occur after hemodialysis due to various reasons, such as fluid shifts, but it is not a specific indicator of dialysis disequilibrium.

C. Headache: Headache is a common symptom of dialysis disequilibrium, which occurs due to rapid changes in fluid and electrolyte balance during hemodialysis. This can lead to cerebral edema, which manifests as a headache.

D. Elevated temperature: An elevated temperature is not a typical sign of dialysis disequilibrium. It could indicate an infection or other issues related to dialysis, but it is not directly related to disequilibrium.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

A. Offer oral fluids every 4 hr: Offering oral fluids every 4 hours may not be frequent enough for a client with dehydration. The nurse should encourage the client to drink fluids more regularly (e.g., every 1-2 hours) to help prevent further dehydration.

B. Monitor the client's hemoglobin level: Monitoring the hemoglobin level is not a priority intervention for managing dehydration. The focus should be on fluid replacement and monitoring indicators of dehydration, such as urine output.

C. Check urinary output status every 4 hr: Monitoring urinary output regularly is crucial for assessing hydration status. Dehydration often leads to reduced urine output, and it is important to check for changes in output to adjust fluid intake and assess the effectiveness of interventions.

D. Administer furosemide IV: Furosemide is a diuretic, which increases urine output. Administering it to a client who is dehydrated would worsen their dehydration and is contraindicated. The focus should be on rehydration, not on further increasing fluid loss.

A. Hypotension B. Bradycardia C. Bradypnea D. Pruritus

Correct Answer is C

Explanation

A. Hypotension: While hypotension can be a concern with opioid use, it is less immediately life-threatening compared to respiratory depression, which is the most dangerous side effect of morphine. Monitoring BP is important, but the priority is airway and breathing.

B. Bradycardia: Bradycardia is a possible side effect of morphine, but it does not usually present an immediate risk to the client's life unless it is severe. Respiratory depression poses a greater risk to the client’s oxygenation status.

C. Bradypnea: Bradypnea (slow breathing) is the most critical concern when a client is receiving morphine. Opioids like morphine can cause respiratory depression, which can be life-threatening. This should be the nurse's priority to assess and address immediately.

D. Pruritus: Pruritus (itching) is a common side effect of morphine, but it is not life-threatening. While it can be uncomfortable, it does not require immediate intervention compared to respiratory depression.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is assessing a client following hemodialysis. Which of the following findings indicates dialysis disequilibrium?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for an older adult client who has manifestations of dehydration. Which of the following interventions should the nurse include in the plan?

Correct Answer is C

Explanation

A nurse is assessing a client's response to receiving morphine for postoperative pain management. Which of the following findings is the nurse's priority?

Correct Answer is C

Explanation

A nurse is planning teaching about methods to reduce incontinent episodes for a client who has stress incontinence. Which of the following Instructions should the nurse plan to include?

A nurse is instructing a client on the maintenance of their cast. Which of the following instructions should be given to the client?

A nurse is caring for a client who has a below-the-knee amputation. Which of the following statements should indicate to the nurse that the client has adapted to role changes after their injury?

Exhibits Which of the following should the nurse plan to include when providing teaching for the client? Select all that apply.

A nurse is caring for a client after total hip replacement surgery. Which of the following actions should the nurse take?

A nurse is caring for a client who has skeletal traction for a fracture of the lower extremity. Which of the following actions should the nurse take?

The nurse is caring for the client who has iron deficiency anemia. Exhibits Which of the following statements indicate the client understands the instructions? Select the 3 statements that apply.

Exhibits Select the 2 findings that indicate the client's condition is improving.