A client who has polycystic kidney disease (PKD) presents to the emergency department with reports of a severe headache. Which of the following complications should the nurse expect?
Pancreatic cyst
Cerebral aneurysm
Renal calculus
Diverticulitis
The Correct Answer is B
Choice A reason: Pancreatic cysts can be associated with PKD but are not typically linked with severe headaches.
Choice B reason: Cerebral aneurysms are a known complication of PKD and can present with severe headaches if they leak or rupture.
Choice C reason: Renal calculi, or kidney stones, can cause pain but are not typically associated with headaches.
Choice D reason: Diverticulitis is a condition of the colon and would not be expected to cause headaches.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: The output solution is typically the same or slightly less than the input solution due to fluid removal during dialysis.
Choice B reason: The fluid from the abdomen should be clear or slightly yellow; any other color may indicate infection or bleeding.
Choice C reason: Using a microwave to warm the solution is not recommended as it can unevenly heat the solution and damage its composition.
Choice D reason: While sterile precautions are taken, there is still a risk of infection with any catheter.
Correct Answer is D
Explanation
Choice A reason: A pH of 7.26 indicates acidosis, but an HCO3 of 24 and PaCO2 of 46 suggest a respiratory cause rather than metabolic, which is not typical for AKI.
Choice B reason: A pH of 7.49 indicates alkalosis, and with an HCO3 of 30 and PaCO2 of 40, this suggests metabolic alkalosis, which is not expected in AKI.
Choice C reason: A pH of 7.49 indicates alkalosis. An HCO3 of 24 is normal, and a PaCO2 of 30 would suggest respiratory alkalosis, not typically associated with AKI.
Choice D reason: A pH of 7.26 indicates acidosis, and with an HCO3 of 14, this suggests metabolic acidosis, which is consistent with AKI. The PaCO2 of 30 indicates a compensatory respiratory response to the metabolic acidosis. This ABG result aligns with the expected findings in a patient with AKI, where there is an accumulation of acids and a decrease in bicarbonate due to the kidneys' inability to filter and excrete hydrogen ions effectively.
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