Why are patients diagnosed with chronic renal failure and on dialysis prone to injury?
Multiple life changes and hormone deficiencies
Bone demineralization and peripheral neuropathy
Impaired immune response and malnutrition
Fatigue and drug side effects
The Correct Answer is B
A. Multiple life changes and hormone deficiencies: These factors may contribute to psychological stress but do not directly increase the risk of physical injury.
B. Bone demineralization and peripheral neuropathy: Chronic renal failure often leads to bone demineralization (secondary to disrupted calcium-phosphorus metabolism) and peripheral neuropathy (due to uremic toxins), both of which increase injury risk.
C. Impaired immune response and malnutrition: These are common in chronic renal failure but are more related to infection risk than injury.
D. Fatigue and drug side effects: While fatigue and medication effects can contribute to falls, the primary causes are bone and nerve damage.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Hematuria with abdominal bruising: Hematuria refers to blood in the urine but is not directly associated with the bruising characteristic of Grey Turner sign.
B. Bladder spasms on palpation of the abdomen: This does not describe Grey Turner sign, which is related to bleeding.
C. Distended bladder with painful urination: Grey Turner sign is not linked to bladder distension or urination issues.
D. Retroperitoneal bleeding and bruising over the flank: Grey Turner sign indicates retroperitoneal bleeding and is observed as bruising on the flanks, often a result of trauma or pancreatitis.
Correct Answer is B
Explanation
A. Interstitial cystitis (although rare in a male patient): Interstitial cystitis is a chronic condition typically diagnosed after other causes, like infection, are ruled out.
B. Cystitis, probably from bacterial contamination: Symptoms such as urgency, frequency, suprapubic pain, and cloudy urine strongly suggest a urinary tract infection (UTI), specifically bacterial cystitis.
C. Urinary calculi, probably located in the ureter: While urinary calculi may cause similar symptoms, dark cloudy urine is more indicative of infection than stones.
D. Kidney infection, most likely pyelonephritis: Pyelonephritis typically presents with systemic symptoms such as fever, chills, and flank pain, which are not described here.
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