A patient, with chronic renal failure and a blood pressure of 158/98 mm Hg, refuses to take medication for the blood pressure. If left untreated, the nurse realizes that which of the following can occur in the patient?
1. heart failure
2. pericarditis
3. friction rub
4. pneumonia
1
Rationale: Hypertension, commonly seen in chronic renal failure, can progress to heart failure if left untreated. Pericarditis, associated with uremic toxins or a result of the dialysis treatment causes chest pain, a friction rub, and possible cardiac tamponade. Pneumonia is not a potential problem because of untreated hypertension.
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