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. Frothy urine B. Lower abdominal pain C. Hypertension D. Fish-type urine odor E. Mental confusion F. Weak urine stream

Correct Answer is ["B","D","E","F"]

Explanation

Choice A reason: Frothy urine is not a typical symptom of pyelonephritis; it is more associated with proteinuria or nephrotic syndrome.

Choice B reason: Lower abdominal pain can be a symptom of pyelonephritis due to in?ammation and infection in the kidneys.

Choice C reason: Hypertension is not a direct symptom of pyelonephritis, although it can be associated with chronic kidney disease.

Choice D reason: A fish-type urine odor can be present in pyelonephritis due to the presence of bacteria.

Choice E reason: Mental confusion can occur, especially in severe cases or in elderly patients with pyelonephritis.

Choice F reason: A weak urine stream may be present if there is swelling or obstruction in the urinary tract due to infection.

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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 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.)

Correct Answer is ["B","D","E","F"]

Explanation

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