A nurse is assisting with the care of a client who has hypertension and chronic kidney disease. The client is scheduled for hemodialysis. Which of the following actions should the nurse plan to take while caring for this client? (Select all that apply.)

Obtain the client’s weight.

Verify the glomerular filtration rate.

Check the graft site for a palpable thrill.

Document vital signs.

Administer a sedative to the client.

Answer and Explanation

Correct Answer : A,C,D

The correct answers are Choices A, C, and D.

Choice A rationale: Obtaining the client's weight is important before and after hemodialysis to assess fluid removal and monitor the patient's fluid balance.

Choice B rationale: Verifying the glomerular filtration rate (GFR) is not necessary immediately before hemodialysis. GFR is typically assessed periodically to monitor kidney function but is not required for each dialysis session.

Choice C rationale: Checking the graft site for a palpable thrill is essential to ensure the arteriovenous (AV) fistula or graft is functioning properly. The thrill indicates that blood is flowing through the access site.

Choice D rationale: Documenting vital signs is crucial before, during, and after hemodialysis to monitor the client's hemodynamic status and detect any complications.

Choice E rationale: Administering a sedative is not a routine part of hemodialysis care. Sedatives may be prescribed for specific situations, but it is not standard practice.

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Correct Answer is ["2"]

Explanation

Step 1: Determine the concentration of the available medication. The available concentration is 2 mg/mL.

Step 2: Calculate the volume to be administered. 4 mg ÷ 2 mg/mL = 2 mL The nurse should administer 2 mL.

A. Administer the medication with each meal. B. Initiate contact precautions. C. Have suction equipment at the bedside. D. Monitor the client for black, tarry stools.

Correct Answer is D

Explanation

Choice A rationale
Administering the medication with each meal is incorrect. Clopidogrel can be taken with or without food, and there is no specific requirement to administer it with each meal. The primary concern with clopidogrel is monitoring for signs of bleeding.
Choice B rationale
Initiating contact precautions is incorrect. Clopidogrel is an antiplatelet medication and does not require contact precautions. Contact precautions are typically used for infections that can be transmitted through direct or indirect contact.
Choice C rationale
Having suction equipment at the bedside is incorrect. Suction equipment is not necessary for clients taking clopidogrel. The primary concern with clopidogrel is monitoring for signs of bleeding, not respiratory issues.
Choice D rationale
Monitoring the client for black, tarry stools is correct. Clopidogrel increases the risk of bleeding, and black, tarry stools can be an indication of gastrointestinal bleeding. It is important to monitor for this adverse effect to ensure the client’s safety.

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A nurse is assisting with the care of a client who has hypertension and chronic kidney disease. The client is scheduled for hemodialysis. Which of the following actions should the nurse plan to take while caring for this client? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer ondansetron 4 mg IM stat. The amount available is ondansetron for injection 2 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. (Do not use a trailing zero)

Correct Answer is ["2"]

Explanation

A nurse is caring for a client who has a prescription for clopidogrel. Which of the following actions should the nurse plan to take?

Correct Answer is D

Explanation

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