A nurse is caring for a client with ESRD and notices that the client is experiencing fatigue and weakness. Which assessment finding should the nurse prioritize for this client?
Skin rash and itching
Numbness and tingling in extremities
Decreased urine output
Increased blood pressure
The Correct Answer is C
A. This is not the priority assessment for this client. Skin rash and itching are common in ESRD due to the accumulation of waste products in the bloodstream, but it is not the most critical finding among the options given.
B. This is not the priority assessment for this client. Numbness and tingling in extremities can be related to neuropathy, which can occur in ESRD, but it is not the most critical finding among the options given.
C. This is the priority assessment for the client with ESRD. Decreased urine output is a significant symptom of kidney failure and requires immediate attention. It may indicate worsening kidney function or complications that need to be addressed promptly.
D. This is not the priority assessment for this client. While increased blood pressure can be a complication of ESRD, decreased urine output takes precedence in this situation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. This is correct. Hemodialysis is performed to remove waste products and excess fluids from the body, but there is a risk of fluid overload during the procedure. It is essential for the client to be monitored for signs of fluid retention, such as swelling and shortness of breath.
B. This is incorrect. Hemodialysis typically reduces fluid overload and may lead to decreased appetite and weight loss, not weight gain.
C. This is incorrect. Hemodialysis is used to manage fluid and electrolyte imbalances, including blood pressure regulation. While blood pressure may fluctuate during the dialysis procedure, it is not a common complication to increase blood pressure.
D. This is incorrect. Hemodialysis is used to regulate potassium levels in clients with ESRD, as high potassium levels can be dangerous. It is more common for potassium levels to be reduced during hemodialysis, not increased.
Correct Answer is A
Explanation
A. This is correct. Family history of diabetes is a significant risk factor for the development of ESRD. Diabetes is one of the leading causes of ESRD, and individuals with a family history of diabetes are at increased risk of kidney complications.
B. This is incorrect because being physically active and maintaining a healthy lifestyle do not increase the risk of ESRD. In fact, a healthy lifestyle can help reduce the risk of developing kidney disease.
C. This is incorrect because having a history of frequent kidney stones is not associated with a decreased risk of ESRD. In some cases, recurrent kidney stones may lead to chronic kidney disease, which can progress to ESRD.
D. This is incorrect because high blood pressure (hypertension) is a significant risk factor for the development and progression of ESRD. Uncontrolled hypertension can lead to damage to the blood vessels in the kidneys, contributing to kidney disease.
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