Practice Quiz

CCNS Certified Clinical Nurse Specialist

Category - Adult

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The nurse plans to teach a patient who has been receiving hemodialysis for a couple of months to be alert for signs and symptoms of gastrointestinal bleeding. Bleeding into the gastrointestinal tract is of particular significance to a patient with chronic renal failure because:
  1. Clotting problems make diagnosis of the bleeding site difficult
  2. A patient with renal failure will not manifest usual signs of blood loss
  3. Blood is digested, thus increasing the kidney’s protein load
  4. Hypovolemia can compromise renal function
Explanation
Answer - C - Bleeding into the gastrointestinal tract is of particular significance to a patient with chronic renal failure because blood is digested, thus increasing the kidney’s protein load. Digested blood is protein and might increase the BUN level.
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