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 B
Explanation
A. "We'll find out if any medications, such as steroids, are interfering with your kidney function." Some medications affect kidney function, but creatinine primarily measures kidney efficiency, not drug interactions.
B. "This test will tell your doctor how your kidneys are functioning." Serum creatinine is a key indicator of kidney function. It measures how well the kidneys are filtering waste products.
C. "This test will tell if you have severe renal impairment or disease." Creatinine can be elevated in mild, moderate, or severe kidney dysfunction, not just in severe disease.
D. "You'll have to ask your doctor." The nurse should provide basic health education to the client.
Correct Answer is B
Explanation
A. pH 7.30, PaCO₂ 38, HCO₃ 15: Metabolic acidosis (low HCO₃, normal PaCO₂).
B. pH 7.32, PaCO₂ 56, PO₂ 84, HCO₃ 26: The client has respirations of 8/min, which indicates hypoventilation → CO₂ retention → respiratory acidosis. pH 7.32 indicates acidosis. PaCO₂ 56 mmHg - Elevated CO₂ (hypercapnia), confirming respiratory acidosis. HCO₃ 26- Normal bicarbonate suggests that compensation has not yet occurred
C. pH 7.37, PaCO₂ 45, HCO₃ 24: Normal ABG values.
D. pH 7.48, PaCO₂ 32, HCO₃ 22: Respiratory alkalosis (low PaCO₂ due to hyperventilation, not hypoventilation).
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