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?
Offer the client hard candies or mints to alleviate the taste.
Assess the client's recent dietary and medication changes.
Provide the client with an oral rinse to refresh the taste buds.
Administer a prescribed antiemetic medication.
The Correct Answer is B
A. Incorrect. Offering hard candies or mints may provide temporary relief from the metallic taste, but it does not address the underlying cause.
B. Correct. A persistent metallic taste in the mouth can be caused by various factors, such as dietary changes, medication side effects, or biochemical imbalances. Assessing the client's recent dietary and medication changes can help identify the potential cause.
C. Incorrect. Providing an oral rinse may offer temporary relief, but it does not address the underlying cause of the metallic taste.
D. Incorrect. Administering an antiemetic medication is not indicated for a metallic taste in the mouth, as it is not associated with nausea or vomiting.
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Related Questions
Correct Answer is D
Explanation
A) This statement is incorrect. Hypernatremia (high sodium levels) is not the primary indication for initiating dialysis in this case. Metabolic acidosis and the inability of the kidneys to excrete acids are the primary concerns.
B) This statement is incorrect. Hyperkalemia (elevated potassium levels) may occur in CKD, but it is not the primary indication described in the scenario. Metabolic acidosis is the primary concern leading to the need for dialysis.
C) This statement is incorrect. Hypocalcemia (low calcium levels) can be a complication of CKD, but it is not the primary indication for initiating dialysis in this scenario. Metabolic acidosis and its associated symptoms take precedence.
D) Severe metabolic acidosis, which results from the kidneys' inability to adequately excrete acids and regulate pH balance, is a critical indication for initiating dialysis in clients with CKD.
Correct Answer is B
Explanation
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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