A client on peritoneal dialysis has a prescription for hypertonic dialysate. Which of the following findings should the nurse expect during the infusion of hypertonic dialysate?

A. Correct. Monitoring the client's blood pressure and heart rate is a priority during dialysis to assess the client's hemodynamic status and detect any potential complications, such as hypotension or arrhythmias.

B. Incorrect. While assisting with dietary s is important, it is not the priority during the dialysis procedure.

C. Incorrect. Providing emotional support is essential, but the nurse's priority during dialysis is to monitor the client's vital signs and ensure their safety during the procedure.

D. Incorrect. Administering prescribed intravenous medications may be necessary during dialysis, but it is not the priority action stated in this question.

A) This statement is accurate. Clients on hemodialysis should limit their protein intake to reduce the workload on the kidneys and minimize waste buildup. Excess protein intake can lead to the accumulation of urea and other waste products, which can be challenging for the compromised kidneys to eliminate.

B) This statement is incorrect. While clients on hemodialysis may need to limit sodium intake to manage fluid retention and blood pressure, the primary nutrient that requires limitation in their diet is protein.

C) This statement is incorrect. Clients on hemodialysis may need to monitor their calcium intake, but it is not the primary nutrient that requires limitation in their diet. Calcium levels may be affected by the use of phosphate binders and the avoidance of high-phosphorus foods, but protein restriction is more critical.

D) This statement is incorrect. Iron intake may need to be managed for clients with anemia, which is common in end-stage renal disease (ESRD) and dialysis. However, protein restriction remains a more significant dietary consideration for clients on hemodialysis.

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