A nurse is assessing a patient with renal impairment. Which facial characteristic is a sign of fluid retention?

Facial twitching

Periorbital edema

Rash on cheeks and neck

Broken blood vessels around the nose

Answer and Explanation

The Correct Answer is B

A. Facial twitching: Facial twitching is unrelated to fluid retention and may indicate neuromuscular or electrolyte imbalances.

B. Periorbital edema: Periorbital (around the eyes) edema is a common sign of fluid retention, particularly in renal impairment.

C. Rash on cheeks and neck: A rash is not associated with fluid retention and may indicate other conditions such as allergies or lupus.

D. Broken blood vessels around the nose: This is unrelated to fluid retention and may result from trauma or alcohol use.

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Correct Answer is D

Explanation

A. The antibiotic protocol is completed: While antibiotics may be used for secondary infections, they are not directly related to lifting activity restrictions.

B. Potassium levels are normal: Potassium levels are relevant to kidney function but do not dictate bed rest.

C. Dialysis starts: Dialysis is not typically required in acute glomerulonephritis unless there is severe kidney failure.

D. Blood pressure drops to normal levels: In acute glomerulonephritis, hypertension is a common complication, and activity is often restricted until blood pressure stabilizes.

A. bleeding from the kidney B. dehydration C. bleeding from the lower urinary tract D. excessive red meat in the patient's diet

Correct Answer is A

Explanation

A. Bleeding from the kidney: Dark red urine often indicates bleeding from the upper urinary tract, including the kidneys, due to trauma, infection, or stones.

B. Dehydration: Dehydration typically causes concentrated urine with a darker yellow color, not red.

C. Bleeding from the lower urinary tract: Bleeding from the lower urinary tract usually results in bright red urine, not dark red urine.

D. Excessive red meat in the patient's diet: While dietary factors can influence urine color (e.g., beets), red meat does not cause dark red urine.

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A nurse is assessing a patient with renal impairment. Which facial characteristic is a sign of fluid retention?

Nursing Test Bank

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Correct Answer is D

Explanation

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