A nurse is collecting data from a client who has end-stage kidney disease and is waiting for transport to dialysis. Which of the following findings should the nurse expect?

Facial flushing

Hypotension

Diaphoresis

Peripheral edema

Answer and Explanation

The Correct Answer is D

A. Facial flushing is not typically associated with end-stage kidney disease and waiting for transport to dialysis. It may be indicative of other conditions such as fever, allergic reactions, or hormonal changes.
B. Hypotension is not a common finding in patients with end-stage kidney disease.

These patients often experience hypertension due to fluid overload and electrolyte imbalances.
C. Diaphoresis, or excessive sweating, is not typically associated with end-stage kidney disease and waiting for transport to dialysis. It may occur in response to other factors such as fever, pain, or anxiety.

D. Peripheral edema, or swelling in the extremities, is a common finding in patients with end-stage kidney disease due to fluid retention and impaired fluid balance regulation.

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Correct Answer is D

Explanation

A. While patients receiving chemotherapy are at risk for infections due to immunosuppression, the risk of overwhelming infection, particularly from encapsulated bacteria, is higher in post-splenectomy patients due to impaired immune function without the spleen.
B. Patients with sickle cell anemia are at increased risk of infections, particularly from encapsulated bacteria, due to functional asplenia or hyposplenism, but the risk of overwhelming infection is highest in post-splenectomy patients.
C. Patients with multiple myeloma are immunocompromised and at increased risk of infections, but they do not have the same risk of overwhelming infection as post- splenectomy patients.
D. Post-splenectomy patients are at highest risk of overwhelming infection due to impaired immune function resulting from the absence of the spleen, which plays a crucial role in immune surveillance and defense against encapsulated bacteria.

A. Defibrillation B. Antiarrhythmic medication C. Synchronized cardioversion D. Pacemaker

Correct Answer is A

Explanation

A. Pulseless ventricular tachycardia requires immediate defibrillation to restore a perfusing rhythm.
B. Antiarrhythmic medications are not typically effective for pulseless ventricular tachycardia as the heart is not effectively pumping blood.
C. Synchronized cardioversion is used for certain tachyarrhythmias with a pulse but is not appropriate for pulseless ventricular tachycardia.
D. A pacemaker is not indicated for pulseless ventricular tachycardia as it does not address the underlying issue of cardiac arrest.

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A nurse is collecting data from a client who has end-stage kidney disease and is waiting for transport to dialysis. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is A

Explanation

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