A client with a past medical history of chronic kidney disease is receiving dialysis. Which of the following clinical findings should the nurse expect to find when assessing this client?
Explanation & Rationale
Choice A reason: Hematuria is not a typical finding in chronic kidney disease, as it is more associated with acute conditions like glomerulonephritis or stones. In CKD, reduced nephron function leads to decreased urine production rather than blood in urine, making hematuria an unlikely finding during dialysis treatment. Choice B reason: Weight loss may occur in chronic kidney disease due to malnutrition or protein loss, but it is not a primary finding. Fluid retention is more common, causing weight gain between dialysis sessions. Weight loss is less expected compared to hypertension, which is a hallmark of CKD. Choice C reason: Hypertension is common in chronic kidney disease due to fluid overload and activation of the renin-angiotensin-aldosterone system, which increases blood pressure. Dialysis patients often have persistent hypertension, requiring careful monitoring and management to prevent cardiovascular complications and further renal damage, making it an expected finding. Choice D reason: Increased urine output is not expected in chronic kidney disease, as advanced stages lead to oliguria or anuria due to significant nephron loss. Dialysis replaces kidney function, and patients typically produce minimal urine, making this finding inconsistent with the clinical presentation of CKD.