A nurse is caring for a client undergoing hemodialysis. Which intervention is essential to prevent dialysis-related hypotension?

Increasing the dialysate temperature.

Limiting fluid removal during dialysis.

Encouraging the client to consume a high-sodium diet.

Administering intravenous hypertonic saline during dialysis.

Answer and Explanation

The Correct Answer is B

A. Incorrect. Increasing the dialysate temperature can lead to vasodilation and potentially exacerbate hypotension during dialysis.

B. Correct. Limiting fluid removal during dialysis is essential to prevent excessive fluid loss, which can cause hypotension and potentially lead to intradialytic hypotension.

C. Incorrect. Encouraging a high-sodium diet is not the primary intervention to prevent dialysis-related hypotension. It may be recommended for some clients to manage hyponatremia, but fluid management is more critical.

D. Incorrect. Administering intravenous hypertonic saline during dialysis is not a routine intervention to prevent hypotension. It may be used in specific cases, but fluid management is the primary approach.

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Correct Answer is D

Explanation

A) This statement is incorrect. While administering an antibiotic may be necessary if peritonitis is confirmed, it should not be done without obtaining a sample for testing first.

B) This statement is incorrect. Measuring vital signs and assessing for pain are essential aspects of client assessment, but they may not provide enough information to determine the cause of the cloudy drainage.

C) This statement is incorrect. Clamping the catheter may be necessary if peritonitis is suspected, but it should not be done without first obtaining a sample of the drainage for testing.

D) This statement is accurate. Cloudy drainage from the catheter site may indicate peritonitis, which is an infection of the peritoneal cavity. Obtaining a sample of the drainage for culture and sensitivity testing can help identify the presence of infection and guide appropriate treatment.

A. Increase the dialysis session duration. B. Increase the dialysate solution temperature. C. Decrease the dialysate solution flow rate. D. Administer an anticoagulant medication.

Correct Answer is B

Explanation

A) This statement is incorrect. Increasing the dialysis session duration would not address the client's muscle cramps and may lead to further fluid and electrolyte imbalances.

B) This statement is accurate. Muscle cramps during hemodialysis are often caused by the cooling effect of the dialysate solution. Increasing the temperature of the dialysate can help alleviate the cramps.

C) This statement is incorrect. Decreasing the dialysate solution flow rate may not directly address the muscle cramps and may impact the effectiveness of the dialysis treatment.

D) This statement is incorrect. Administering an anticoagulant medication is not indicated for muscle cramps during hemodialysis. Anticoagulants are used to prevent blood clots during the procedure but would not alleviate muscle cramps.

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A nurse is caring for a client undergoing hemodialysis. Which intervention is essential to prevent dialysis-related hypotension?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client on peritoneal dialysis who complains of cloudy drainage from the catheter site. Which of the following actions should the nurse take first?

Correct Answer is D

Explanation

A client on hemodialysis reports experiencing muscle cramps during the procedure. Which intervention should the nurse implement?

Correct Answer is B

Explanation

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

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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?

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 hemodialysis reports feeling lightheaded and dizzy during the procedure. Which of the following actions should the nurse take first?

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 nurse is caring for a client with end-stage renal disease (ESRD). The client presents with severe fluid overload, pulmonary edema, and uncontrolled hypertension. Which of the following is the primary indication for initiating dialysis in this client?

A nurse is caring for a client on hemodialysis who is experiencing muscle cramps during the procedure. Which intervention should the nurse implement?