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

Air embolism

Septicemia

Dialysis disequilibrium

Peritonitis

Answer and Explanation

The Correct Answer is C

Choice A reason: Air embolism is a potential complication during hemodialysis, but it would likely present with more acute symptoms such as chest pain or difficulty breathing.

Choice B reason: Septicemia would typically present with fever and hypotension, not necessarily with headache, nausea, and restlessness.

Choice C reason: Dialysis disequilibrium syndrome can occur after hemodialysis, especially after the first treatment, and is characterized by symptoms such as headache, nausea, and restlessness.

Choice D reason: Peritonitis is a complication associated with peritoneal dialysis, not hemodialysis.

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Correct Answer is B

Explanation

Choice A reason: Muscle spasms are not typically associated with aluminum hydroxide use.

Choice B reason: Constipation is a common adverse effect of aluminum hydroxide, especially when used as a

phosphate binder in clients with renal failure.

Choice C reason: Headaches are not commonly reported as an adverse effect of aluminum hydroxide.

Choice D reason: A metallic taste is not a common adverse effect associated with aluminum hydroxide.

A. Postvoid urine residual measurement B. Blood urea nitrogen (BUN) C. Cystourethrogram D. Creatinine E. Kidney, ureter, bladder (KUB) x-ray F. Bladder scan

Correct Answer is ["A","E","F"]

Explanation

Choice A reason: Postvoid urine residual measurement is a direct method to assess for urinary retention.

Choice B reason: Blood urea nitrogen (BUN) levels may indicate kidney function but not specifically urinary retention.

Choice C reason: A cystourethrogram is used to visualize the bladder and urethra, which may not be the first choice for assessing urinary retention.

Choice D reason: Creatinine levels indicate kidney function but not urinary retention.

Choice E reason: A kidney, ureter, bladder (KUB) x-ray can show the size of the bladder and may indicate retention.

Choice F reason: A bladder scan is a non-invasive way to measure the amount of urine in the bladder and assess for

retention.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who has renal failure and an elevated phosphorous level. The provider instructed the client to take aluminum hydroxide 300 mg PO three times daily. For which of the following adverse effects should the nurse inform the client?

Correct Answer is B

Explanation

A nurse is caring for a client in the clinic who has a distended bladder with discomfort over the area and a sense of fullness. Which of the following tests should the nurse expect the health care provider to order to determine if the client has urinary retention? (Select all that apply.)

Correct Answer is ["A","E","F"]

Explanation

A nurse is caring for a group of clients who have been diagnosed with urinary retention. Which of the following underlying conditions place these clients at risk for urinary retention? (Select all that apply.)

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A nurse is admitting a client who has pyelonephritis. Which of the following manifestations should the nurse expect to be present during the assessment? (Select all that apply.)

A nurse is collecting a medication history from a client who is scheduled to have a cardiac catheterization. Which of the following medications taken by the client interacts with contrast material and places the client at risk for acute kidney injury?

A nurse is preparing a client for a kidney biopsy. Which of the following client conditions should the nurse identify as a contraindication for this diagnostic test?