A nurse is caring for a client who has end-stage renal disease (ESRD). Which of the following are expected findings? (Select all that apply).

Bone pain

Slurred speech

Hypotension

Pruritus

Bradypnea.

Answer and Explanation

Correct Answer : A,B,D

A.   Bone pain can occur in ESRD due to mineral and bone disorders associated with chronic kidney disease.
B.   Slurred speech can be seen in ESRD patients with uremic encephalopathy.
C.   Hypotension is less common in ESRD; hypertension is more typical due to fluid overload and retention.
D.   Pruritus is a common symptom of ESRD, often due to accumulation of uremic toxins.
E.   Bradypnea is not typically associated with ESRD.

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Correct Answer is B

Explanation

A. Calcium supplements are not associated with peptic ulcer formation.
B. Flank pain can be a symptom of kidney stones, which can occur due to excessive calcium supplementation.
C. Pancreatitis is not typically associated with calcium supplementation.
D. Hepatitis is not typically associated with calcium supplementation.

A. Constipation B. Muscle spasms C. Metallic taste D. Headache

Correct Answer is A

Explanation

A. Constipation is a common adverse effect of aluminum hydroxide, an antacid often used to bind phosphate in patients with renal failure to prevent hyperphosphatemia.
B. Muscle spasms are not typically associated with aluminum hydroxide.
C. Metallic taste is not a common adverse effect of aluminum hydroxide.
D. Headache is not a common adverse effect of aluminum hydroxide.

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A nurse is caring for a client who has end-stage renal disease (ESRD). Which of the following are expected findings? (Select all that apply).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is talking to a client who is taking a calcium supplement for osteoporosis. The client tells the nurse she is experiencing flank pain. Which of the following adverse effects should the nurse suspect?

Correct Answer is B

Explanation

A nurse is providing teaching to a client who has renal failure and an elevated phosphorous level. The provider instructed the client to take aluminum hydroxide 300 mg PO three times daily. For which of the following adverse effects should the nurse inform the client?

Correct Answer is A

Explanation

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