A nurse is caring for a client during his first hemodialysis treatment. The client reports a headache, nausea, and is agitated. Which of the following complications should the nurse identify these findings as manifestations of?

Disequilibrium syndrome

Septicemia

Air embolism

Peritonitis

Answer and Explanation

The Correct Answer is A

Choice A reason: Disequilibrium syndrome is characterized by headache, nausea, and agitation, which can occur during or after hemodialysis, especially in the first few sessions as the body adjusts to the treatment².

Choice B reason: Septicemia would typically present with fever, chills, and hypotension, not specifically headache and agitation².

Choice C reason: Air embolism is a rare complication that would present with sudden respiratory distress, chest pain, and possibly hypotension, not just headache and agitation².

Choice D reason: Peritonitis is associated with abdominal pain and tenderness, fever, and possibly altered bowel movements, not the symptoms described².

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Correct Answer is B

Explanation

Choice A reason:Bubbling in the water seal chamber with exhalation can be normal, indicating that air is being evacuated from the pleural space.

Choice B reason:Crepitus, or subcutaneous emphysema, can indicate that air is leaking into the tissue around the chest tube site, which is a serious complication that requires immediate attention.

Choice C reason:

Movement of the trachea toward the unaffected side can indicate tension pneumothorax, a life-threatening condition that also requires immediate attention.

Choice D reason:If the eyelets of the chest tube are not visible, it may simply mean that the tube is inserted fully, which is not an immediate cause for concern unless other symptoms are present.

A. Ask the healthcare provider to re-schedule the scan B. Send a suction catheter with the client in case of aspiration during the scan C. Shut the feeding off 30-60 minutes before the scan D. Connect the feeding tube to continuous suction before and during the exam

Correct Answer is C

Explanation

Choice A reason:Rescheduling the scan is not necessary unless there are other contraindications or scheduling conflicts.

Choice B reason:Sending a suction catheter is a precautionary measure, but it does not address the management of the feeding tube during the scan.

Choice C reason:Shutting off the feeding 30-60 minutes before the scan is a standard practice to reduce the risk of aspiration and to ensure that the stomach contents do not interfere with the imaging.

Choice D reason:Connecting the feeding tube to continuous suction is not typically required unless there is a specific concern for aspiration or gastric content management during the scan.

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A nurse is caring for a client during his first hemodialysis treatment. The client reports a headache, nausea, and is agitated. Which of the following complications should the nurse identify these findings as manifestations of?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has a pneumothorax with a chest tube in place. For which of the following findings should the nurse notify the provider immediately?

Correct Answer is B

Explanation

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Correct Answer is C

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