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
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Black Americans have been found to have a higher prevalence of end-stage renal disease (ESRD) due to diabetes mellitus compared to other ethnic groups. This is atributed to a combination of factors including higher rates of diabetes, hypertension, and genetic predispositions that contribute to kidney damage.
Choice B reason: While Asian Americans do have a significant incidence of diabetes mellitus, they are not the group with the highest prevalence of ESRD due to diabetes. However, within the Asian American population, there are subgroups that have higher rates of ESRD, which may be in?uenced by genetic and environmental factors.
Choice C reason: Non-Hispanic Whites have a lower prevalence of ESRD due to diabetes mellitus when compared to Black Americans. However, they still constitute a significant portion of the ESRD population due to the larger size of this demographic group in the general population.
Choice D reason: Hispanic/Latinos also su?er from a high prevalence of diabetes mellitus, which can lead to ESRD. However, the rate of progression to ESRD due to diabetes is not as high as in the Black American population.
Socioeconomic factors and access to healthcare may in?uence these outcomes.
Correct Answer is A
Explanation
Choice A reason: Diuretic use, especially thiazide diuretics, can lead to increased calcium in the urine, which is a risk
factor for the development of calcium stones.
Choice B reason: Hypocalcemia is not typically associated with an increased risk of urolithiasis. In fact, hypercalcemia can be a risk factor due to increased calcium excretion.
Choice C reason: A family history of kidney stones is a known risk factor for urolithiasis, as genetic factors can in?uence stone formation.
Choice D reason: A BMI less than 25 is generally not considered a risk factor for urolithiasis; higher BMI levels have been associated with an increased risk.
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