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

The correct answer is choice C: "You will need to avoid rigorous exercise during the test."

Rationale:

Choice A: The collection time for a 24-hour urine creatinine clearance test typically starts at a specific time, not necessarily with the first urine of the day.
Choice B: A creatinine clearance test requires a 24-hour urine collection, not just 12 hours.
Choice C: Avoiding rigorous exercise is important during the test as it can affect creatinine levels and impact the accuracy of the results.
Choice D: Storing the urine container in a dark location is not necessary for a creatinine clearance test.

A. "The volume of the output solution should be greater than the input solution." B. "The fluid from my abdomen will be clear or slightly yellow." C. "The microwave in my kitchen can warm the solution before I use it." D. "The catheter can become infected even with sterile precautions."

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.

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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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