A nurse is caring for a client in the nephrology unit. Exhibits For each client finding below, indicate whether the finding is consistent with complications following hemodialysis treatment or a normal symptom of hemodialysis. Each finding may be associated with more than one condition.

Swelling in the lower extremities suggests fluid overload or inadequate fluid removal during hemodialysis. This indicates that the treatment may not be fully effective in achieving fluid balance, making it a complication rather than a normal post-dialysis finding. Fatigue is a common and expected symptom after hemodialysis due to fluid and electrolyte shifts, temporary hypotension, and the overall physical stress of the treatment. Clients often report tiredness following sessions, making this a normal symptom. Improvement in dizziness is consistent with the correction of intradialytic hypotension or fluid imbalances. As the dialysis session progresses and the body stabilizes, clients may feel better, making this a normal recovery symptom rather than a complication. Difficulty maintaining balance may result from lingering hypotension, electrolyte disturbances, or weakness associated with uremia and dialysis. While mild weakness is expected, balance difficulties can increase fall risk and are best classified as a complication requiring close monitoring.