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 D

Explanation

A. Metabolic acidosis is characterized by a low pH and low bicarbonate levels (HCO3).
B. Metabolic alkalosis is characterized by a high pH and high bicarbonate levels (HCO3).
C. Respiratory alkalosis is characterized by a high pH and low PaCO2 levels.
D. The pH is below the normal range (7.35-7.45), indicating acidosis. The PaCO2 is elevated, indicating respiratory acidosis, as an increase in PaCO2 leads to an increase in carbonic acid and a decrease in pH.

A. Place the client in Trendelenburg position. B. Discontinue the medication infusion. C. Prepare for an emergency cesarean birth. D. Assess maternal blood glucose.

Correct Answer is B

Explanation

A. Placing the client in Trendelenburg position is not appropriate in this situation. It may worsen respiratory depression caused by magnesium sulfate.
B. Absent deep-tendon reflexes and respiratory depression are signs of magnesium toxicity.
Discontinuing the medication infusion is essential to prevent further toxicity.
C. While preeclampsia can lead to complications necessitating emergency cesarean birth, the immediate concern here is addressing magnesium toxicity.
D. Assessing maternal blood glucose is not relevant to the management of magnesium toxicity.

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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).

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Naxlex Comprehensive Predictor Exams

A nurse is reviewing the arterial blood gas values for a client. The pH is 7.32, PaCO, 48 mm Hg and the HCO, is 23 mEq/L. The nurse should recognize that these findings indicate of which of the following acid base balances?

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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