A client is scheduled to receive peritoneal dialysis. Which of the following is the highest priority action that the nurse should perform before starting dialysis?
Weigh the client
Place the client in high Fowler’s position
Administer pain medications
Place the client in Trendelenburg position
The Correct Answer is A
Choice A reason: Weighing assesses fluid status pre-dialysis, guiding ultrafiltration goals in peritoneal dialysis to remove excess fluid safely, the priority for efficacy and safety.
Choice B reason: High Fowler’s aids breathing but isn’t critical pre-dialysis; semi-Fowler’s is used during, not before, making this secondary to weight assessment.
Choice C reason: Pain medication eases discomfort during dialysis but isn’t the priority; weight determines fluid removal needs first, ensuring treatment accuracy.
Choice D reason: Trendelenburg position aids hypotension, not routine pre-dialysis preparation, irrelevant to starting peritoneal dialysis compared to weight’s foundational role.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Myxedema, severe hypothyroidism, slows metabolism, reducing cardiac output and causing fluid retention in tissues, leading to non-pitting leg edema from glycosaminoglycan deposits and poor circulation.
Choice B reason: Heat intolerance occurs in hyperthyroidism due to increased metabolism raising body temperature. Myxedema causes cold intolerance from slowed metabolism, making this finding unlikely.
Choice C reason: Tachycardia is a hyperthyroid symptom from excess thyroid hormone speeding heart rate. Myxedema leads to bradycardia as metabolism and cardiac activity decrease significantly.
Choice D reason: Diarrhea aligns with hyperthyroidism’s accelerated gut motility. Myxedema causes constipation from slowed metabolism reducing peristalsis, so diarrhea contradicts this condition’s physiology.
Correct Answer is B
Explanation
Choice A reason: 1 tablet (50 mcg) provides half the 100 mcg dose, insufficient for hypothyroidism treatment, underdosing the required thyroid hormone replacement level.
Choice B reason: 2 tablets (50 mcg each) equal 100 mcg, matching the prescribed dose, ensuring adequate T4 replacement for hypothyroidism’s metabolic needs daily.
Choice C reason: 3 tablets (150 mcg) exceed the 100 mcg dose, risking hyperthyroidism symptoms like tachycardia or nervousness from excessive thyroid hormone administration.
Choice D reason: 4 tablets (200 mcg) grossly overdose the 100 mcg requirement, potentially causing severe thyrotoxicosis, disrupting metabolism and cardiac function dangerously.
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