A patient has symptoms of lethargy, oliguria, and itchy and dry skin. The patient also has chronic conditions including hypertension, type 2 diabetes mellitus, and coronary artery disease. Blood workup shows a drastic decrease in hemoglobin and hematocrit.
Which condition is described?
Polycystic kidney disease
End-stage renal disease
Renal cell carcinoma
Hypertensive kidney disease
The Correct Answer is B
ESRD is a condition in which the kidneys lose their ability to filter waste and fluid from the blood, resulting in a buildup of toxins and fluid in the body. ESRD can cause symptoms such as lethargy, oliguria (reduced urine output), and itchy and dry skin due to uremia (high levels of urea in the blood). ESRD can also cause anemia (low levels of red blood cells), which can explain the decrease in hemoglobin and hematocrit. ESRD can be caused by chronic conditions such as hypertension, diabetes, and coronary artery disease, which damage the kidneys over time.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
MRSA stands for methicillin-resistant Staphylococcus aureus, a type of bacteria that is resistant to many antibiotics and can cause serious infections in various parts of the body. MRSA can spread through direct contact with infected people or contaminated objects and can be difficult to treat due to its resistance to treatment. MRSA can progress into blood, bone, lung, or skin infections that may be life-threatening if not treated promptly and appropriately.
Correct Answer is C
Explanation
Rhabdomyolysis is a condition that occurs when skeletal muscle tissue breaks down rapidly due to injury, infection, drug toxicity, or other causes. The breakdown of muscle releases myoglobin, a protein that carries oxygen in muscle cells, into the bloodstream. Myoglobin can damage the kidneys by clogging the renal tubules and causing acute kidney injury. Rhabdomyolysis can also cause electrolyte imbalances, muscle weakness, and compartment syndrome.
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