NOLS Wilderness Emergency Medical Technician (WEMT) Practice Exam

When a patient misses a dialysis appointment, the most likely complaint to anticipate is shortness of breath. Dialysis is a critical procedure for individuals with kidney failure, as it helps remove waste products and excess fluids from the bloodstream. When a patient skips dialysis, their body may retain fluid and waste, leading to increased blood pressure and fluid overload.

Shortness of breath is a common symptom in this scenario because fluid accumulation can affect lung function, making it difficult for the patient to breathe comfortably. This can manifest as pulmonary edema, where fluid leaks into the lungs, further impairing gas exchange and resulting in the sensation of breathlessness.

While fatigue, chest pain, and abdominal cramping can also arise from missed dialysis solutions due to fluid imbalance and electrolyte disturbances, shortness of breath is often the most immediate and noticeable complaint. Therefore, understanding the implications of skipped dialysis and their potential impact on respiratory function is vital in anticipating the patient's condition.