A nurse is caring for a client during his first hemodialysis treatment. The client reports a headache, nausea, and is agitated. Which of the following complications should the nurse identify these findings as manifestations of?

Disequilibrium syndrome

Septicemia

Air embolism

Peritonitis

Answer and Explanation

The Correct Answer is A

Choice A reason: Disequilibrium syndrome is characterized by headache, nausea, and agitation, which can occur during or after hemodialysis, especially in the first few sessions as the body adjusts to the treatment².

Choice B reason: Septicemia would typically present with fever, chills, and hypotension, not specifically headache and agitation².

Choice C reason: Air embolism is a rare complication that would present with sudden respiratory distress, chest pain, and possibly hypotension, not just headache and agitation².

Choice D reason: Peritonitis is associated with abdominal pain and tenderness, fever, and possibly altered bowel movements, not the symptoms described².

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Correct Answer is D

Explanation

Choice A reason:Cardiac enzyme studies do not provide information about the heart's structure or the mobility of the heart valves; imaging studies are used for that purpose.

Choice B reason:While cardiac enzymes indicate damage to heart tissues, they do not pinpoint the exact location of an MI; imaging studies are needed for localization.

Choice C reason:Cardiac enzymes are not used to diagnose pulmonary congestion; they are specific markers for myocardial injury.

Choice D reason:Cardiac enzyme levels, such as troponin, rise when there is damage to the heart muscle, which is why they are used to assess the degree of damage after an MI.

A. Increased serum amylase B. Decreased WBC count C. Increased serum calcium D. Decreased serum lipase

Correct Answer is A

Explanation

Choice A reason:Increased serum amylase is a common finding in acute pancreatitis as it is released from the inflamed pancreas[^10^].

Choice B reason:A decreased WBC count is not typically associated with acute pancreatitis; an increased count may indicate infection or inflammation.

Choice C reason:Serum calcium is often decreased in acute pancreatitis due to fat saponification and hypoalbuminemia.

Choice D reason:Decreased serum lipase would not be expected; increased levels are indicative of acute pancreatitis, similar to amylase[^10^].

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A nurse is caring for a client during his first hemodialysis treatment. The client reports a headache, nausea, and is agitated. Which of the following complications should the nurse identify these findings as manifestations of?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching the partner of a client who had an acute myocardial infarction (MI) about the reason blood was drawn from the client. Which of the following statements should the nurse make regarding cardiac enzyme studies?

Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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