A patient who started hemodialysis develops headache, nausea, restlessness, and confusion during the first treatment. Which complication should the nurse suspect?
Correct answer: A. Dialysis disequilibrium syndrome
- A. Dialysis disequilibrium syndrome
- B. Peritoneal dialysis peritonitis
- C. Renal colic from a ureteric stone
- D. Uncomplicated urinary tract infection
Explanation
Dialysis disequilibrium syndrome can occur when rapid removal of urea causes cerebral fluid shifts, especially during early treatments. Neurological symptoms during dialysis require prompt assessment and notification, rather than treatment as a urinary infection or renal colic.
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About Renal and Urological Nursing
Covers assessment and care for urinary tract infection, glomerulonephritis, nephrotic syndrome, acute kidney injury, chronic kidney disease, renal stones and urinary obstruction. The subject includes intake and output, urinalysis, fluid restriction, dialysis care and the difference between prerenal, intrinsic and postrenal kidney injury.
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50 free Renal and Urological Nursing MCQs from Medical Surgical Nursing, each with the correct answer and an explanation. Unlimited attempts, no account needed.
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More Renal and Urological Nursing questions
A patient with chronic kidney disease has a serum phosphate level above the target range and reports persistent itching. Which instruction is most appropriate?
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A patient with acute kidney injury has deep, rapid respirations and increasing drowsiness. Which assessment should the nurse perform first?
Which finding most strongly suggests an uncomplicated lower urinary tract infection rather than a kidney infection?