A nurse is caring for a 44-year-old female client in the emergency department.
The client is experiencing
The Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"B"}
Peritonitis
Peritonitis is an infection of the peritoneum (the lining of the abdominal cavity), often related to peritoneal dialysis. It can present with abdominal pain, fever, rigidity, and rebound tenderness,
consistent with the client’s symptoms. Cloudy effluent is also a common sign of peritoneal dialysis- related peritonitis.
Peritoneal dialysis
Peritoneal dialysis is a type of dialysis that uses the peritoneum (abdominal lining) to filter blood. If there is an issue with the dialysis process, it could lead to complications such as peritonitis. This is consistent with the client's symptoms, such as abdominal pain, fever, nausea, vomiting, and cloudy effluent.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Cushing syndrome is characterized by excessive levels of cortisol in the body, often due to an adrenal gland tumor or prolonged use of corticosteroid medications. The primary symptoms include weight gain, hypertension, and changes in skin appearance. Exophthalmos is not typically associated with Cushing syndrome.
B. Hashimoto's disease is an autoimmune thyroid disorder that leads to hypothyroidism (underactive thyroid). The condition is characterized by symptoms such as fatigue, weight gain, cold intolerance, and dry skin. Exophthalmos is not a feature of Hashimoto's disease. Instead, it is more commonly associated with hyperthyroidism.
C. Addison's disease is a condition caused by inadequate production of cortisol and aldosterone by the adrenal glands. Symptoms include fatigue, weight loss, hyperpigmentation of the skin, and low blood pressure. Exophthalmos is not related to Addison's disease.
D. Graves' disease is an autoimmune hyperthyroid condition that leads to an overproduction of thyroid hormones. One of the hallmark symptoms of Graves' disease is exophthalmos or protruding eyes, caused by inflammation and swelling of the tissues around the eyes. This condition is directly associated with exophthalmos.
Correct Answer is B
Explanation
A. Gallstones are formed in the gallbladder and are not directly related to PKD.
B. Polycystic kidney disease (PKD) is a genetic disorder characterized by the growth of numerous cysts in the kidneys. These cysts can obstruct the flow of urine, making it easier for bacteria to grow and cause a urinary tract infection (UTI).
C. Hypotension is low blood pressure. While PKD can lead to kidney failure, which can cause hypotension, it is not a common complication.
D. Osteoporosis is a condition characterized by weak bones. While PKD can lead to kidney failure, which can affect calcium metabolism and contribute to osteoporosis, it is not a common complication.
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