The nurse is caring for a client with end-stage renal disease (ESDR). Which of the following...

The nurse is caring for a client with end-stage renal disease (ESDR). Which of the following findings should the nurse follow up first?

Ammonia odor of the breath

Numbness and tingling around the mouth

Nausea

Decrease in urine output

Expert Solution

ANSWER: -- Decrease in urine output.

In, end stage renal disease (ESDR) means the client is in stage 5.......where only15% or less then 15% of kidney remains functional means Glomerular filtration rate is become less than 15% ....for that case kidney become unable to maintain water and electrolytes balance in urine. As a result the urine output decrease. Urine can not excrete properly so swelling of leg,, foot can be seen. Along with that ammonia odour is present in breath when the stage is already prograssed.And as the client is already under endstage kidney disease , other causes like prostate enlargement , dehydration , urinary tract infection can be excluded.

Ammonia odor in breath is appear in kidney diease when the kidney unable to excrete uria but urine have to come out in another way so , uria change to ammonia and breath is one of the route of excretion . But it is seen when the kidney failure stage persist for a period of time. Another causes like , lupus, sinusitis can also be the cause.

Nausea is common for all diease where loss of appetite present .

Numbness and tingling arou d mouth is totally irrelevant because numbess can be due to cold sores, allergies , stroke,lupus.

Nightingale answered 2 years ago

WHAT ARE THE CRITERIA TO BE PLACED ON THE TRANSPLANT LIST FOR END STAGE RENAL DISEASE?...

WHAT ARE THE CRITERIA TO BE PLACED ON THE TRANSPLANT LIST FOR END STAGE RENAL DISEASE? WHAT OTHER RENAL REPLACEMENT THERAPIES A PATIENT COULD BE EDUCATED ABOUT? WHAT ARE THEIR ADVANTAGES AND DISADVANTAGES WITH THE TRANSPLANT?

A nurse is caring for a client following a bronchoscopy. Which of the following actions should...

A nurse is caring for a client following a bronchoscopy. Which of the following actions should the nurse take first? Inform the client they might experience a low-grade fever. Provide the client with sips of water. Check the client's gag reflex. Instruct the client to report bleeding. A nurse is assessing an older adult client at a health fair. Which of the following statements by the client is the nurse's priority? "I can't seem to get reading materials far enough...

A nurse is caring for a client who has a drainage evacuator. Which of the following...

A nurse is caring for a client who has a drainage evacuator. Which of the following is an appropriate action by the nurse? A. Discontinue the drainage system when it becomes full. B. Ensure the drainage suction is set on high pressure. C. Measure drainage by emptying into a graduated cylinder. D. Check the volume of the drainage every 24 hours.

A nurse is caring for a client who is receiving epidural analgesia. Which of the following...

A nurse is caring for a client who is receiving epidural analgesia. Which of the following assessment findings is the nurse's priority? Hypotension Bladder distention Hypoactive bowel sounds Weakness to lower extremities 6672076520 A nurse is preparing a teaching plan for a client who has mucositis related to chemotherapy treatment. Which of the following instructions should the nurse include? "Floss your teeth gently following each meal." "Brush your teeth for 60 seconds twice daily." "Rinse your mouth with hydrogen peroxide."...

The nurse is caring for a client with chronic obstructive pulmonary disease (COPD) who is receiving...

The nurse is caring for a client with chronic obstructive pulmonary disease (COPD) who is receiving supplemental oxygen and should intervene if which delivery device is being used by the client? Select one: a. Nasal cannula b. Continuous positive airway pressure (CPAP) c. Bilevel positive airway pressure (BiPAP) d. Venturi face mask

A nurse is caring for a client who has malignant melanoma, which of the following findings...

A nurse is caring for a client who has malignant melanoma, which of the following findings should the nurse expect when assessing the lesion A: purplish in color B: purulent drainage C: pruritus D: pain A nurse is caring for a client who is experiencing hypovolemic shock. Which of the following blood product should anticipate administering to this client A: cryoprecipitates B: albumin C: platelets D: packed RBCs

The number of people with end stage renal disease (ESRD) has increased due mainly to the...

The number of people with end stage renal disease (ESRD) has increased due mainly to the chronic complications of diabetes. There is a debate as to whether Medicare/Medicaid should completely cover dialysis and transplantation given the high cost of these services. What ethical issues should be considered regarding such a decision? Should the new health care bill consider these issues?

QUESTION 25 A patient with end-stage renal disease and hypertension presents to outpatient dialysis for a...

QUESTION 25 A patient with end-stage renal disease and hypertension presents to outpatient dialysis for a regularly scheduled session. How should the medical necessity of this encounter be coded? A. I12.0, N18.6 B. I12.9, N18.6 C. N18.6, I10 D. I12.9, N18.9 10 points QUESTION 26 A patient recently discharged after a 5-day stay for AMI returns to the emergency room 2 days after discharge. The patient is dyspneic, diaphoretic, and complaining of severe chest tightness. He says that he's...

A nurse is caring for a client following a laparoscopic cholecystectomy. The client has a prescription...

A nurse is caring for a client following a laparoscopic cholecystectomy. The client has a prescription for ondansetron 4 mg IV bolus every 6 hr PRN for nausea and vomiting. Identify the sequence of steps the nurse should follow to administer the medication. (Move the steps into the box on the right. Place them in the order of performance. Use al the steps. A. Perform hand hygiene B. Select the injection port of the IV tubing closest to the client. C. Cleanse the...

A nurse is teaching a client who has pre-stage chronic kidney disease about dietary management. Which...

A nurse is teaching a client who has pre-stage chronic kidney disease about dietary management. Which of the following information should the nurse include in the instructions? Explain your answer and why it is right/wrong. A). Restrict protein intake. B). Maintain a high-phosphorus diet. C). Increase intake of foods high in potassium. D). Limit dairy products to 1 cup per day.

Question