BONENT Continuing Dialysis Education (CDC) Practice Exam

Shortness of breath is a common symptom associated with fluid overload, particularly in patients undergoing dialysis. In the context of dialysis patients, fluid overload can occur when there is an accumulation of excess fluid due to the kidneys’ inability to excrete it properly. This excess fluid can lead to pulmonary edema, which is characterized by fluid filling the lungs, making it difficult for the patient to breathe.

In patients with fluid overload, shortness of breath often presents with other symptoms such as increased respiratory effort, coughing, and sometimes wheezing. These symptoms arise as the lungs become compromised due to the excess fluid preventing proper gas exchange.

While shortness of breath can also be associated with other conditions such as pneumonia, myocardial infarction, and hyperkalemia, the specific nature of fluid overload in a dialysis patient makes it the most relevant and likely cause in this scenario. Thus, recognizing fluid overload as a direct contributor to shortness of breath in this context is critical for appropriate management and treatment adjustments.