A client with end-stage renal disease (ESRD) is receiving heparin during hemodialysis to prevent clotting in the dialyzer. Which of the following laboratory values should the nurse monitor closely while the client is receiving heparin?
Hemoglobin levels
Platelet count
Blood glucose levels
Blood urea nitrogen (BUN) levels
The Correct Answer is B
A) This statement is incorrect. Monitoring hemoglobin levels is essential for clients with ESRD and during hemodialysis, but it is not directly related to the administration of heparin.
B) This statement is accurate. While a drop in platelet count is not uncommon during heparin administration, the nurse should closely monitor the client's platelet count to detect any significant changes or potential complications related to heparin-induced thrombocytopenia.
C) This statement is incorrect. Monitoring blood glucose levels is important, especially for clients with diabetes or those at risk of hypoglycemia during dialysis, but it is not specifically related to heparin administration.
D) This statement is incorrect. Monitoring blood urea nitrogen (BUN) levels is crucial for clients with ESRD, but it is not directly related to the administration of heparin during hemodialysis.
QUESTIONS
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Incorrect. Limiting fluid intake is important for some clients with renal issues, but clients on dialysis typically need to maintain adequate hydration due to fluid removal during the procedure.
B. Correct. Clients on dialysis often need to consume plenty of fluids to compensate for the fluid removal that occurs during dialysis treatment, preventing dehydration and maintaining hemodynamic stability.
C. Incorrect. Increasing salt intake is not recommended for clients on dialysis, as it can contribute to fluid retention and worsen hypertension.
D. Incorrect. Limiting fluid intake only on the day of dialysis treatment is not sufficient to maintain overall hydration and may lead to imbalances and complications between dialysis sessions.
Correct Answer is C
Explanation
A) This statement is incorrect. Peritoneal dialysis does not require extended hospital stays, as it can be performed at home.
B) This statement is incorrect. While some modifications to daily activities may be necessary, peritoneal dialysis does not generally require clients to limit their daily activities or avoid physical exertion.
C) This statement is accurate. Peritoneal dialysis is a form of dialysis that can be performed by the client at home, allowing them to continue with their daily activities without the need for hospitalization or daily clinic visits.
D) This statement is incorrect. Peritoneal dialysis is performed by the client at home, not at the outpatient clinic every day. The client may visit the clinic for periodic follow-up and assessment, but the actual dialysis is performed at home.
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