Difficulty: Medium
Average Score: 87%
Simulated
Passage / Scenario
The patient is a 68-year-old with a history of diabetes, hypertension (HTN), coronary artery disease (CAD), and recently diagnosed with end-stage renal disease (ESRD). She has been placed on hemodialysis three times a week for one month. She presents to the emergency department (ED) with fatigue, generalized weakness, muscle cramps, tingling sensation in arms and legs, and lightheadedness following 3 days of illness during which her husband reports she has complained of nausea and had a poor appetite and was not able to go for her scheduled dialysis 2 days ago.For each assessment finding, explain whether the actions taken were effective or ineffective.
Correct answer
A,B,C,D
Rationale
Denying symptoms, normalized vitals, potassium, and dialysis commitment indicate effective actions. Misunderstandings about Lisinopril and diet suggest ineffective education.