CRNE Exam Prep

Category - Changes in Health

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A nurse is caring for a client who is receiving hemodialysis. Which of the following signs and symptoms should alert the nurse that the client is having disequilibrium syndrome?

Increased blood pressure, increased pulse rate, and fever
Hypotension, increased pulse rate, and hypothermia
Headache, confusion, and twitching
Restlessness, agitation, and hypotension

Explanation

Answer: C - Disequilibrium syndrome is manifested by hypertension, headache, confusion, restlessness, agitation, vomiting, and twitching. It is caused by the more rapid removal of solutes from the blood than from the cerebrospinal fluid, resulting in cerebral edema.

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