A nurse is caring for a client following his first hemodialysis treatment. The client reports a headache, nausea, and restlessness. The nurse should identify these findings as manifestations of which of the following complications?
Air embolism
Septicemia
Dialysis disequilibrium
Peritonitis
The Correct Answer is C
Choice A reason: Air embolism is a potential complication during hemodialysis, but it would likely present with more acute symptoms such as chest pain or difficulty breathing.
Choice B reason: Septicemia would typically present with fever and hypotension, not necessarily with headache, nausea, and restlessness.
Choice C reason: Dialysis disequilibrium syndrome can occur after hemodialysis, especially after the first treatment, and is characterized by symptoms such as headache, nausea, and restlessness.
Choice D reason: Peritonitis is a complication associated with peritoneal dialysis, not hemodialysis.
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Related Questions
Correct Answer is C
Explanation
Choice A reason: In the oliguric phase of acute kidney injury, the creatinine level is expected to increase, not decrease, due to impaired kidney function and decreased filtration.
Choice B reason: The GFR is expected to decrease in acute kidney injury, not increase, as the kidneys' ability to filter
blood is compromised.
Choice C reason: Hyperkalemia, or high potassium levels in the blood, is a common finding in the oliguric phase of acute kidney injury due to decreased excretion of potassium by the kidneys.
Choice D reason: Hypomagnesemia, or low magnesium levels, is not typically associated with the oliguric phase of acute kidney injury. Instead, hypermagnesemia may occur due to decreased excretion of magnesium.
Correct Answer is A
Explanation
Choice A reason: Metastasis refers to the process by which cancer cells spread from the primary tumor site to distant organs or tissues. This can occur through the bloodstream or lymphatic system, leading to the formation of secondary tumors in other parts of the body.
Choice B reason: This statement is incorrect because metastasis, by definition, involves the spread of cancer cells to multiple locations, not their confinement to a single area.
Choice C reason: The description provided in this choice is more indicative of metaplasia, which is a change in the type of cells, and not metastasis, which is the spread of cancer cells.
Choice D reason: This choice is incorrect as it does not describe metastasis. Cancer cells do not stop growing because they run out of space; they continue to proliferate and can invade other tissues.
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