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Which of the following manifestations are commonly seen in an end stage renal disease patient with fluid overload?

Hypotension

Polyuria

Weight loss

Edema

Answer and Explanation

The Correct Answer is D

A. Hypotension: Fluid overload typically causes hypertension, not hypotension.

B. Polyuria: ESRD patients typically have oliguria or anuria, not excessive urine output.

C. Weight loss: Fluid overload leads to weight gain due to fluid retention.

D. Edema: Fluid overload causes peripheral and pulmonary edema due to impaired kidney function. Clients may also experience hypertension, dyspnea, and crackles.

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Correct Answer is A

Explanation

A. Cardiac arrest: Cardiac arrest is a complication of severe hypothermia, not a risk factor.

B. Falling through the ice: Major risk factor for accidental hypothermia due to immersion in cold water.

C. Head trauma: Impaired thermoregulation in the brainstem can cause hypothermia.

D. Drug use: Certain drugs (e.g., alcohol, sedatives) impair the body’s ability to regulate temperature, increasing hypothermia risk.

A. Assess the fistula with a large bore needle B. Auscultate the fistula site for a bruit. C. Measure the blood pressure in the affected arm D. Assess the rate and quality of the radial pulse on the affected arm

Correct Answer is B

Explanation

A. Assess the fistula with a large bore needle: Large bore needles are used during dialysis sessions, not for routine assessment. Inappropriate needling can damage the fistula.

B. Auscultate the fistula site for a bruit: A functional AV fistula should have a palpable thrill (vibration) and an audible bruit (whooshing sound) when auscultated with a stethoscope. These findings confirm adequate blood flow and patency.

C. Measure the blood pressure in the affected arm: Blood pressure measurements should never be taken on the fistula arm to prevent compression and potential fistula failure.

D. Assess the rate and quality of the radial pulse on the affected arm: The radial pulse does not accurately assess AV fistula patency; the focus should be on the thrill and bruit.

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Which of the following manifestations are commonly seen in an end stage renal disease patient with fluid overload?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following is not a risk factor for accidental hypothermia?

Correct Answer is A

Explanation

Which intervention does the nurse utilize post-operatively to assess the patency of the arteriovenous fistula?

Correct Answer is B

Explanation

The emergency room nurse is providing discharge teaching to a client diagnosed with heat exhaustion. Which of the following statements would require further teaching?

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