A client with chronic kidney disease receiving hemodialysis develops bleeding from the access site. What should the nurse do first?

Apply pressure to the bleeding site.

Elevate the arm above heart level.

Administer a prescribed antiplatelet medication.

Check the client's platelet count.

Answer and Explanation

The Correct Answer is A

A. Correct. Applying pressure to the bleeding site is the first action to control the bleeding and prevent excessive blood loss.

B. Incorrect. Elevating the arm above heart level may not be effective in controlling bleeding from the access site and could cause unnecessary discomfort.

C. Incorrect. Administering a prescribed antiplatelet medication is not the first action to take when the client experiences bleeding from the access site, as it may further increase bleeding risk.

D. Incorrect. While checking the client's platelet count is important, it is not the first action to address active bleeding. Applying pressure to the bleeding site takes priority to control the bleeding.

QUESTIONS

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Correct Answer is B

Explanation

A) This statement is incorrect. Increasing the intake of potassium-rich foods is not related to managing constipation. In fact, clients on peritoneal dialysis may need to restrict potassium intake due to the potential for electrolyte imbalances.

B) This statement is accurate. Constipation can be a common issue for clients on peritoneal dialysis due to the presence of glucose in the dialysate, which can draw fluid into the peritoneal cavity and lead to decreased bowel movement. Administering a stool softener as needed can help alleviate constipation.

C) This statement is incorrect. Decreasing fluid intake during dialysis is not recommended for managing constipation. Fluid intake should be maintained as prescribed to achieve adequate ultrafiltration.

D) This statement is incorrect. Encouraging the client to consume dairy products is not directly related to managing constipation. While calcium intake may be important for bone health in clients with ESRD, it is not a primary intervention for constipation.

QUESTIONS

A. "I will avoid doing any heavy lifting to prevent damage to the catheter." B. "I will clean the catheter exit site with soap and water daily." C. "I will change the dressing around the catheter insertion site weekly." D. "I will notify my healthcare provider if there is any redness or drainage at the catheter site."

Correct Answer is C

Explanation

A. Correct. Avoiding heavy lifting can help prevent trauma or dislodgement of the peritoneal catheter, which can be a risk factor for infection or complications.

B. Correct. Cleaning the catheter exit site with soap and water daily helps maintain cleanliness and reduce the risk of infection.

C. Incorrect. The dressing around the catheter insertion site should be changed more frequently than weekly, ideally every 2-3 days, to ensure proper hygiene and reduce the risk of infection.

D. Correct. Notifying the healthcare provider about any redness or drainage at the catheter site is essential, as these can be signs of infection or other complications that require prompt evaluation and treatment.

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A client with chronic kidney disease receiving hemodialysis develops bleeding from the access site. What should the nurse do first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client on peritoneal dialysis is experiencing constipation. Which of the following interventions should the nurse implement to manage this condition?

Correct Answer is B

Explanation

A nurse is providing education to a client undergoing peritoneal dialysis about maintaining good peritoneal catheter care. Which statement by the client indicates a need for further education?

Correct Answer is C

Explanation

A client with end-stage renal disease (ESRD) is receiving erythropoietin-stimulating agents (ESAs) as part of the dialysis treatment. Which of the following statements by the client indicates an understanding of the medication's purpose?

A client on peritoneal dialysis is experiencing cloudy dialysate drainage. Which of the following actions should the nurse take first?

A nurse is providing education to a client who will be starting peritoneal dialysis. The client asks, "How does peritoneal dialysis work?" Which of the following responses by the nurse is accurate?

A client with end-stage renal disease (ESRD) is experiencing severe fatigue, weakness, and decreased urine output. Laboratory tests show elevated levels of blood urea nitrogen (BUN) and creatinine. Which of the following is the primary indication for initiating dialysis in this client?

A nurse is caring for a client with chronic kidney disease (CKD) who is scheduled to start hemodialysis. The client asks, "How does hemodialysis work?" Which of the following responses by the nurse is accurate?

A client with acute kidney injury (AKI) has a significantly decreased glomerular filtration rate (GFR). Which of the following is the primary indication for initiating dialysis in this client?

A nurse is educating a client about the different types of dialysis. The client asks which type of dialysis uses the peritoneal membrane as a filter. Which of the following responses by the nurse is accurate?

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?