A patient has symptoms of lethargy, oliguria, and itchy and dry skin. The patient also has chronic conditions including hypertension, type 2 diabetes mellitus, and coronary artery disease. Blood workup shows a drastic decrease in hemoglobin and hematocrit.
Which condition is described?
Polycystic kidney disease
End-stage renal disease
Renal cell carcinoma
Hypertensive kidney disease
The Correct Answer is B
ESRD is a condition in which the kidneys lose their ability to filter waste and fluid from the blood, resulting in a buildup of toxins and fluid in the body. ESRD can cause symptoms such as lethargy, oliguria (reduced urine output), and itchy and dry skin due to uremia (high levels of urea in the blood). ESRD can also cause anemia (low levels of red blood cells), which can explain the decrease in hemoglobin and hematocrit. ESRD can be caused by chronic conditions such as hypertension, diabetes, and coronary artery disease, which damage the kidneys over time.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Hyperglycemia: Hyperglycemia is characteristic of diabetes mellitus, not diabetes insipidus. Diabetes insipidus involves an issue with antidiuretic hormone (ADH) and water balance, not glucose regulation.
B. Polydipsia: This is a hallmark symptom of diabetes insipidus. It refers to excessive thirst due to the body’s inability to retain water, leading to dehydration and compensatory increased fluid intake.
C. Weight gain: Weight gain is not typically associated with diabetes insipidus. The condition usually leads to weight loss due to fluid loss.
D. Oliguria: Oliguria (reduced urine output) is the opposite of what occurs in diabetes insipidus. The condition is characterized by polyuria, or excessive urination, due to the kidneys' inability to concentrate urine.
Correct Answer is D
Explanation
Cirrhosis is a chronic liver disease that causes fibrosis, nodular regeneration, portal hypertension, and liver failure. Cirrhosis can cause various symptoms and signs such as nausea, vomiting, abdominal pain, pruritus, edema, ascites, jaundice, spider angiomas, palmar erythema, gynecomastia, splenomegaly, varices, hepatic encephalopathy, and coagulopathy. Cirrhosis can also cause elevated liver enzymes such as alanine aminotransferase and aspartate aminotransferase due to hepatocellular injury or necrosis.
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