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 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.

A. Specific gravity is decreased in clients who have hypovolemia. B. Creatinine levels are increased in clients who have acute kidney injury. C. Potassium levels are increased in clients who have polyuria. D. BUN is decreased in clients who have dehydration.

Correct Answer is B

Explanation

Choice A reason: Specific gravity is typically increased in clients who have hypovolemia, not decreased, due to the concentration of urine as the body atempts to conserve water.

Choice B reason: Creatinine levels are indeed increased in clients who have acute kidney injury, reffecting decreased kidney function and filtration.

Choice C reason: Potassium levels are not necessarily increased in clients who have polyuria. Polyuria can be associated with a variety of conditions and does not directly indicate high potassium levels.

Choice D reason: BUN, or blood urea nitrogen, is typically increased in clients who have dehydration, not decreased, due to the concentration of blood solutes as the body conserves water.

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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

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Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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