A nurse is caring for a client who has end-stage renal disease (ESRD). Which of the following are expected findings? (Select all that apply).

Bone pain

Slurred speech

Hypotension

Pruritus

Bradypnea.

Answer and Explanation

Correct Answer : A,B,D

A.   Bone pain can occur in ESRD due to mineral and bone disorders associated with chronic kidney disease.
B.   Slurred speech can be seen in ESRD patients with uremic encephalopathy.
C.   Hypotension is less common in ESRD; hypertension is more typical due to fluid overload and retention.
D.   Pruritus is a common symptom of ESRD, often due to accumulation of uremic toxins.
E.   Bradypnea is not typically associated with ESRD.

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Correct Answer is B

Explanation

A. Having a pacemaker is not a contraindication for kidney transplant unless there are significant underlying cardiac issues that would increase the risks associated with surgery.
B. Chronic alcohol abuse can lead to multiple organ damage and increased surgical risks, making it a contraindication for kidney transplant.
C. Being a breast cancer survivor is not a contraindication for kidney transplant unless there are active cancer or metastases that would affect surgical outcomes.
D. Age alone is not a contraindication for kidney transplant. The decision for transplant candidacy is based on overall health status and comorbidities rather than age alone.

A. Wheezing B. Decreased deep tendon reflexes C. Cerebral edema D. Hypoactive bowel sounds

Correct Answer is B

Explanation

A. Wheezing is not typically associated with hyperkalemia. It can be seen in conditions such as asthma or chronic obstructive pulmonary disease (COPD).
B. Hyperkalemia can lead to neuromuscular manifestations, including decreased deep tendon reflexes due to suppression of neuromuscular excitability.
C. Cerebral edema is not a typical manifestation of hyperkalemia. It may occur in conditions such as hyponatremia or severe metabolic acidosis.
D. Gastrointestinal manifestations of hyperkalemia are typically related to smooth muscle involvement and can include hyperactive bowel sounds or diarrhea.

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A nurse is caring for a client who has end-stage renal disease (ESRD). Which of the following are expected findings? (Select all that apply).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is discussing kidney transplant with a client who has end-stage renal disease (ESRD). Which of the following should the nurse identify as a contraindication for this treatment?

Correct Answer is B

Explanation

A nurse is assessing a client who has chronic kidney disease. Which of the following findings is a manifestation of hyperkalemia?

Correct Answer is B

Explanation

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