A nurse is caring for a client undergoing hemodialysis. What is the nurse's priority action during dialysis?

Monitoring the client's blood pressure and heart rate.

Assisting the client with dietary s during mealtime.

Providing emotional support and encouragement.

Administering prescribed intravenous medications.

Answer and Explanation

The Correct Answer is A

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.

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Correct Answer is D

Explanation

A) This statement is incorrect. Hypoglycemia (low blood glucose) is not the primary indication for initiating dialysis. Hypoglycemia can occur in certain situations, but it is not the primary concern in this case.

B) This statement is incorrect. Hyperkalemia (elevated potassium levels) can be a concern in AKI, but it is not the primary indication described in the scenario. The primary concern in AKI with decreased GFR is the impaired filtration and waste removal, leading to the need for dialysis.

C) This statement is incorrect. Hypernatremia (high sodium levels) is not a primary indication for initiating dialysis in AKI. Hypernatremia is rare in AKI and usually occurs when there is a significant loss of free water compared to sodium intake.

D) A significantly decreased glomerular filtration rate (GFR) indicates that the kidneys' ability to filter waste products and excess fluids from the blood is severely impaired. Dialysis can help support kidney function and remove waste products when the GFR is critically low.

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 nurse is caring for a client undergoing hemodialysis. What is the nurse's priority action during dialysis?

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is D

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

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A client on peritoneal dialysis reports experiencing abdominal pain and fever. What should the nurse do first?

A nurse is caring for a client with end-stage renal disease on dialysis. The client develops a persistent metallic taste in the mouth. What should the nurse do first?

A nurse is caring for a client with end-stage renal disease (ESRD) who is starting peritoneal dialysis. The client expresses concerns about the impact on their daily activities. Which of the following responses by the nurse is appropriate?

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