A client on hemodialysis presents with a severe headache, confusion, and seizures. What action should the nurse take first?
Administer an antiepileptic medication.
Assess the client's blood glucose levels.
Document the findings and monitor the client.
Check the client's pre-dialysis weight.
The Correct Answer is B
A. Incorrect. While administering an antiepileptic medication may be necessary if the client is experiencing seizures, it is essential to identify the underlying cause first.
B. Correct. The client's severe headache, confusion, and seizures may be indicative of dialysis disequilibrium syndrome, which is a complication of rapid solute removal during hemodialysis. Hypoglycemia can also present with similar symptoms, so assessing blood glucose levels is crucial to differentiate between the two conditions.
C. Incorrect. Documenting the findings and monitoring the client's condition are important, but addressing the acute symptoms and potential cause should be the priority.
D. Incorrect. Checking the client's pre-dialysis weight is not the priority when the client is experiencing severe neurological symptoms. Immediate assessment and intervention are needed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) This statement is incorrect. Increasing the dialysis session duration would not address the client's muscle cramps and may lead to further fluid and electrolyte imbalances.
B) This statement is accurate. Muscle cramps during hemodialysis are often caused by the cooling effect of the dialysate solution. Increasing the temperature of the dialysate can help alleviate the cramps.
C) This statement is incorrect. Decreasing the dialysate solution flow rate may not directly address the muscle cramps and may impact the effectiveness of the dialysis treatment.
D) This statement is incorrect. Administering an anticoagulant medication is not indicated for muscle cramps during hemodialysis. Anticoagulants are used to prevent blood clots during the procedure but would not alleviate muscle cramps.
Correct Answer is C
Explanation
A)This statement is incorrect. Hemodialysis does not use the peritoneal membrane as a filter. Hemodialysis involves the use of a machine that filters the blood outside the body, not the peritoneal membrane.
B) This statement is incorrect. Continuous ambulatory peritoneal dialysis (CAPD) uses the peritoneal membrane as a filter during manual exchanges of dialysate fluid, not with a machine like automated peritoneal dialysis (APD).
C) This statement is accurate. Automated peritoneal dialysis (APD) uses a machine to perform exchanges of dialysate solution through the peritoneal membrane.
D) This statement is incorrect. Peritoneal dialysis uses the peritoneal membrane as a filter. It involves the instillation and drainage of dialysate fluid into the abdominal cavity through a catheter.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.