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 A
Explanation
A. Cardiac arrest: Cardiac arrest is a complication of severe hypothermia, not a risk factor.
B. Falling through the ice: Major risk factor for accidental hypothermia due to immersion in cold water.
C. Head trauma: Impaired thermoregulation in the brainstem can cause hypothermia.
D. Drug use: Certain drugs (e.g., alcohol, sedatives) impair the body’s ability to regulate temperature, increasing hypothermia risk.
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"E"}
Explanation
Respiratory acidosis- Due to opioid-induced respiratory depression (hypoventilation, CO₂ retention). Phlebitis- Due to IV therapy (15g IV and 0.9% NS at 150mL/hr), increasing the risk of vein irritation and inflammation.
Incorrect answers:
- Metabolic alkalosis: typically occurs due to vomiting or excessive bicarbonate intake.
- Hypervolemia: The client is receiving IV fluids, but there is no evidence of fluid overload.
- Osteomyelitis: Infection of the bone; not a direct risk in this scenario.
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