A client with end-stage renal disease receives a kidney tran…
A client with end-stage renal disease receives a kidney transplant from a donor with closely matched immune characteristics. The nurse explains that matching reduces but does not eliminate the risk of rejection. Which long-term treatment is generally required?
Read DetailsA client with severe renal failure is started on hemodialysi…
A client with severe renal failure is started on hemodialysis. The nurse explains that blood passes along a selectively permeable membrane while dialysis fluid remains on the opposite side. Which process removes metabolic waste products from the blood?
Read DetailsA client asks why alcohol consumption often causes increased…
A client asks why alcohol consumption often causes increased urination. The nurse explains that alcohol affects hormonal control of water conservation rather than acting as a therapeutic diuretic. Which mechanism produces this effect?
Read DetailsA client with autosomal dominant polycystic kidney disease i…
A client with autosomal dominant polycystic kidney disease is concerned about the risk to future children. The nurse explains that only one affected allele is needed for the disorder to be inherited. If one parent carries the affected allele, what is the chance that each child will inherit the disorder?
Read DetailsA client exercising outdoors on a hot, humid day becomes wea…
A client exercising outdoors on a hot, humid day becomes weak, dizzy, and nauseated. The skin is cool and wet from heavy sweating, and the client is tachycardic with a decreased blood pressure. Which condition is most consistent with these findings?
Read DetailsA client reports increasing difficulty seeing at night and h…
A client reports increasing difficulty seeing at night and has a diet lacking vegetables and vitamin-rich foods. The nurse recognizes that vitamin A is necessary for synthesis of rhodopsin in the retina. Which manifestation is most consistent with vitamin A deficiency?
Read DetailsA client has obesity primarily concentrated around the abdom…
A client has obesity primarily concentrated around the abdomen and upper body. The nurse explains that fat distribution can be clinically important even when two clients have similar body mass indexes. Which risk is associated with upper-body obesity?
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