Which of the following manifestations are commonly seen in an end stage renal disease patient with fluid overload?
Hypotension
Polyuria
Weight loss
Edema
The Correct Answer is D
A. Hypotension: Fluid overload typically causes hypertension, not hypotension.
B. Polyuria: ESRD patients typically have oliguria or anuria, not excessive urine output.
C. Weight loss: Fluid overload leads to weight gain due to fluid retention.
D. Edema: Fluid overload causes peripheral and pulmonary edema due to impaired kidney function. Clients may also experience hypertension, dyspnea, and crackles.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Magnesium sulfate: Magnesium sulfate is used for eclampsia and torsades de pointes, not for reducing shivering.
B. Kayexalate: This medication is used for hyperkalemia, not temperature control.
C. Acetaminophen: While useful for fever, acetaminophen does not stop shivering.
D. Diazepam: Shivering increases metabolic demand and body temperature. Diazepam (a benzodiazepine) is a muscle relaxant that helps control shivering in hyperthermic clients.
Correct Answer is C
Explanation
A. Request a neurological consult: This is likely a metabolic issue (hypocalcemia), not a neurological disorder.
B. Have another nurse take their blood pressure: Rechecking BP does not address the underlying cause of the abnormal movement.
C. Review the client's lab values: Carpopedal spasm (Trousseau's sign) during BP measurement suggests hypocalcemia. The nurse should check serum calcium levels to confirm.
D. Call the healthcare provider for orders: The nurse should first review lab results to provide accurate data when notifying the provider.
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