A primary care nurse is reviewing the medical history of a client. Which of the following chronic conditions should the nurse identify as risk factors for developing kidney disease?

Chronic lung disease

Hypertension

Diabetes

Coronary heart disease

Obesity

Answer and Explanation

Correct Answer : B,C,E

A.   Chronic lung disease is not typically identified as a risk factor for developing kidney disease.
B.   Hypertension is a significant risk factor for kidney disease as it can damage blood vessels in the kidneys over time.
C.   Diabetes, especially when uncontrolled, can lead to diabetic nephropathy, a common cause of kidney disease.
D.   Coronary heart disease is primarily related to the cardiovascular system and is not directly associated with kidney disease.
E.   Obesity increases the risk of developing kidney disease due to associated conditions such as hypertension and diabetes.

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Correct Answer is C

Explanation

A. Respiratory acidosis typically presents with cool, clammy skin due to compensatory peripheral vasoconstriction.
B. Peripheral pulses may be weak or thready in respiratory acidosis due to decreased cardiac output.
C. Respiratory acidosis can lead to electrolyte imbalances, particularly hyperkalemia, which can manifest as widened QRS complexes on an electrocardiogram (ECG).
D. Respiratory acidosis can lead to hyperkalemia, but hyperactive deep tendon reflexes are not a characteristic finding.

A. Hypernatremia B. Hypercalcemia C. Hyperchloremia D. Hyperuricemia

Correct Answer is D

Explanation

A. Furosemide use is more commonly associated with hyponatremia rather than hypernatremia due to its diuretic effect.
B. Furosemide does not typically cause hypercalcemia; instead, it may lead to hypocalcemia.
C. Hyperchloremia is not a primary concern with furosemide, as the drug can cause a loss of chloride ions alongside sodium.
D. Furosemide can cause an increase in uric acid levels by reducing its excretion through the kidneys.

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A primary care nurse is reviewing the medical history of a client. Which of the following chronic conditions should the nurse identify as risk factors for developing kidney disease?

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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