Fairly easy

A patient with chronic kidney disease has gained 2 kg in two days and has ankle oedema. Which assessment is most important to report promptly?

Correct answer: B. New crackles with increasing shortness of breath

  • A. Moist oral mucosa with a normal appetite
  • B. New crackles with increasing shortness of breath
  • C. Warm hands with a regular radial pulse
  • D. Urine that is pale yellow in colour

Explanation

Rapid weight gain suggests fluid retention, and crackles with breathlessness may indicate pulmonary oedema, which threatens breathing. These findings require prompt reporting and assessment; the other findings do not indicate acute fluid overload.

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About Nutrition, Fluids and Electrolytes

Coverage includes nutrients and balanced diets, therapeutic feeding, enteral and parenteral nutrition, intake and output, dehydration, fluid overload and fluid balance calculations. Questions also examine sodium, potassium, calcium and chloride disturbances, their signs and nursing care, while distinguishing enteral feeding through the gastrointestinal tract from parenteral nutrition.

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