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Answer :
The correct option to be reported immediately by a patient with chronic kidney disease is a. shortness of breath, which could indicate fluid overload.
A nurse advising a patient with chronic kidney disease (CKD) would emphasize the importance of promptly reporting certain symptoms that could indicate a worsening of their condition or the development of complications. Among the listed cues, the correct option to be reported immediately is shortness of breath. This can be a sign of fluid overload, which is a common complication of CKD, as the kidneys become less effective in excreting metabolic products such as sodium and water, potentially leading to fluid accumulation in the lungs (pulmonary edema).
Symptoms such as increasing lethargy, development of headaches, or dizziness are also concerning and should be reported, as they could suggest electrolyte imbalances or hypertension. While an increase in appetite might seem positive, rapid or significant weight change, such as from 145 lbs to 150 lbs, especially if associated with edema or fluid retention, is also important to report as it could indicate worsening kidney function or complications related to fluid management.
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