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 {"A":{"answers":"A,B"},"B":{"answers":"B"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"A,B"}}
Explanation
a. Hemiparesis: Both
- Higher fatality rate: Hemorrhagic CVA
- Rupture of vessel: Hemorrhagic CVA
- Loss of blood flow: Ischemic CVA
- Most common: Ischemic CVA
- Altered sensorium: Both
Rationale: A cerebrovascular accident (CVA), or stroke, is a sudden interruption of blood supply to the brain, resulting in neurological damage. There are two main types of stroke: ischemic and hemorrhagic. Ischemic stroke occurs when a blood clot or plaque blocks an artery that supplies blood to the brain, causing tissue death due to lack of oxygen and nutrients. Hemorrhagic stroke occurs when a blood vessel in the brain ruptures, causing bleeding into the brain tissue or the surrounding space. Both types of stroke can cause hemiparesis (weakness on one side of the body), altered sensorium (changes in consciousness, alertness, or orientation), and other neurological deficits depending on the location and extent of the damage. However, hemorrhagic stroke has a higher fatality rate than ischemic stroke because of the increased risk of intracranial pressure, cerebral edema, and brain herniation. Ischemic stroke is more common than hemorrhagic stroke, accounting for about 87% of all strokes.
Correct Answer is ["A","B","C"]
Explanation
a. Air bubble in the artery or vein- thromboembolism (air embolism, occurs when air
enters the bloodstream and blocks blood flow to vital organs. It can be caused by
trauma, surgery, injection, or diving)
b. Bulging sac of blood in an artery- aneurysm (it occurs when a weak spot in an artery
wall balloons out and fills with blood. It can be caused by high blood pressure,
atherosclerosis, infection, or genetic factors)
c. Clot of blood in an artery- thrombus (arterial thrombosis, which occurs when a blood
clot forms in an artery and blocks blood flow to tissues or organs. It can be caused by
atherosclerosis, injury, inflammation, or hypercoagulable states)
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