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    Ati Med Surg Fresno City College Final Proctored Exam

    A nurse is caring for a client who has just completed a hemodialysis session. Which of the following assessment findings requires follow-up?

    Explanation & Rationale

    Rationale: A. This option is incorrect because weight loss after hemodialysis is expected. The removal of excess fluid during the session typically results in a measurable decrease in weight, which is an anticipated and desired outcome. B. This option is incorrect because clear lung sounds indicate that fluid removal during dialysis has likely reduced pulmonary congestion. This is a normal and expected finding post-dialysis. C. This option is correct because hypotension is a common complication after hemodialysis due to rapid fluid removal. A blood pressure of 90/60 mmHg may compromise perfusion to vital organs and requires follow-up with interventions such as adjusting fluid removal rates, administering fluids, or monitoring for symptoms of dizziness, syncope, or shock. D. Mild fatigue is incorrect because mild fatigue is a common and expected post-dialysis effect. The procedure can temporarily lower energy levels, but it usually resolves with rest.

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