A nurse is caring for a client who has polycystic kidney disease (PKD). Which of the following findings should the nurse expect?

Confusion

Flank pain

Urinary retention

Hypotension

Answer and Explanation

The Correct Answer is B

A.   Confusion is not a typical finding in polycystic kidney disease.
B.   Flank pain is a common symptom of polycystic kidney disease due to the enlargement of the kidneys from cyst formation.
C.   Urinary retention is not typically associated with polycystic kidney disease.
D.   Hypotension is not a typical finding in polycystic kidney disease unless there are complications such as renal failure.

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Correct Answer is A

Explanation

A. Sudden weight gain is a common sign of fluid overload in clients with end-stage kidney disease undergoing hemodialysis.
B. Skin turgor assessment is not as reliable in individuals with kidney disease due to changes in skin elasticity.
C. Flattened neck veins are not indicative of fluid overload; rather, they suggest dehydration.
D. Oxygen saturation may be affected by various factors but is not directly related to fluid overload in this context.

A. Urine output of 50 mL in 4hr B. Respiratory rate of 16/min C. Diminished deep tendon reflexes D. Heart rate of 56/min

Correct Answer is B

Explanation

A. A urine output of 50 mL in 4 hours is inadequate and may indicate decreased renal perfusion. Magnesium sulfate can further compromise renal perfusion, so this finding warrants careful evaluation and potential adjustment of the infusion rate.
B. This indicates that the client is not experiencing respiratory depression, a potential side effect of magnesium sulfate toxicity.
C. Diminished deep tendon reflexes is an expected finding in magnesium sulfate toxicity.
D. A heart rate of 56/min is below the normal range for an adult but may be a common finding in clients receiving magnesium sulfate due to its cardiac depressant effects.

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A nurse is caring for a client who has polycystic kidney disease (PKD). Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has end-stage kidney disease and is receiving hemodialysis. Which of the following findings should the nurse identify as an indication the client is experiencing fluid overload?

Correct Answer is A

Explanation

A nurse is caring for a client who has severe preeclampsia and is receiving magnesium sulfate IV at 2 g/hr. Which of the following findings indicates that it is safe for the nurse to continue the infusion?

Correct Answer is B

Explanation

A nurse is reviewing the arterial blood gas results for a client in the ICU who has kidney failure and determines the client has respiratory acidosis. Which of the following findings should the nurse expect?

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A nurse is reviewing the laboratory test results from a client who has prerenal acute kidney injury (AKI). Which of the following electrolyte imbalances should the nurse expect?

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