A client on hemodialysis reports feeling lightheaded and dizzy during the procedure. Which of the following actions should the nurse take first?

Increase the rate of fluid removal during dialysis.

Administer an antihypertensive medication.

Assess the client's blood pressure and pulse rate.

Elevate the client's legs to promote blood flow.

Answer and Explanation

The Correct Answer is C

A) This statement is incorrect. Increasing the rate of fluid removal during dialysis may worsen the client's symptoms of lightheadedness and dizziness, as it can lead to further drops in blood pressure.

B) This statement is incorrect. Administering an antihypertensive medication is not appropriate in this situation, as the client is experiencing symptoms of low blood pressure, not high blood pressure.

C) This statement is accurate. Feeling lightheaded and dizzy during hemodialysis may be a sign of hypotension (low blood pressure), and the nurse should assess the client's blood pressure and pulse rate to determine if intervention is needed.

D) This statement is incorrect. Elevating the client's legs may promote blood flow, but it does not address the immediate issue of lightheadedness and dizziness. Assessing the client's blood pressure and pulse rate is the priority to determine the appropriate intervention.

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Correct Answer is C

Explanation

A. Incorrect. Collecting a sample of the effluent for culture and sensitivity testing may be necessary, but notifying the healthcare provider about the finding should be done first.

B. Incorrect. Stopping the exchange immediately may be necessary in some cases, but the nurse should first communicate the finding to the healthcare provider for further assessment and guidance.

C. Correct. Cloudy dialysate effluent may indicate peritonitis, an infection of the peritoneal cavity, which requires immediate attention and treatment by the healthcare provider.

D. Incorrect. Encouraging the client to perform another exchange without further assessment can potentially exacerbate any underlying issue causing the cloudy effluent.

A. Administer a prescribed calcium channel blocker. B. Slow down the blood flow rate during dialysis. C. Offer the client a sports drink with electrolytes. D. Apply a heating pad to the affected muscles.

Correct Answer is C

Explanation

A. Incorrect. Administering a calcium channel blocker is not the first-line intervention for muscle cramps during dialysis.

B. Incorrect. Slowing down the blood flow rate during dialysis may be necessary in some cases, but it is not the first action to address muscle cramps.

C. Correct. Muscle cramps during dialysis can be caused by electrolyte imbalances, such as low potassium levels. Offering the client a sports drink with electrolytes can help alleviate the cramps.

D. Incorrect. Applying a heating pad to the affected muscles is not recommended during dialysis, as it may cause burns or worsen the cramps.

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A client on hemodialysis reports feeling lightheaded and dizzy during the procedure. Which of the following actions should the nurse take first?

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Naxlex Comprehensive Predictor Exams

A client receiving peritoneal dialysis reports cloudy dialysate effluent during an exchange. What should the nurse do first?

Correct Answer is C

Explanation

A nurse is caring for a client who develops muscle cramps during hemodialysis. Which intervention should the nurse implement first?

Correct Answer is C

Explanation

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