A nurse is assessing a patient with renal impairment. Which facial characteristic is a sign of fluid retention?
Facial twitching
Periorbital edema
Rash on cheeks and neck
Broken blood vessels around the nose
The Correct Answer is B
A. Facial twitching: Facial twitching is unrelated to fluid retention and may indicate neuromuscular or electrolyte imbalances.
B. Periorbital edema: Periorbital (around the eyes) edema is a common sign of fluid retention, particularly in renal impairment.
C. Rash on cheeks and neck: A rash is not associated with fluid retention and may indicate other conditions such as allergies or lupus.
D. Broken blood vessels around the nose: This is unrelated to fluid retention and may result from trauma or alcohol use.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. It gives more independence and more closely resembles normal kidney function: Peritoneal dialysis allows patients to manage treatment at home, providing more flexibility and independence, and it mimics the kidney's natural filtration process.
B. It has literally no drawbacks: While peritoneal dialysis has benefits, potential complications include peritonitis, catheter infections, and hyperglycemia from the dialysis solution.
C. It usually does not work very well and has many complications, such as a high blood sugar level: While hyperglycemia can occur, this exaggerates the risks and misrepresents the effectiveness of peritoneal dialysis.
D. It is a lot more work than hemodialysis, in which the health care staff takes care of everything: While it requires self-management, the workload depends on individual circumstances and training.
Correct Answer is B
Explanation
A. Potassium sparing: Loop diuretics are not potassium-sparing; they increase potassium excretion.
B. Potassium depleting. Loop diuretics, such as furosemide, promote the excretion of sodium, potassium, and water.
C. Less potent as a diuretic: Loop diuretics are among the most potent diuretics available.
D. Increases the reabsorption of water: Loop diuretics inhibit water reabsorption by blocking sodium and chloride reabsorption in the loop of Henle.
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