A nurse on the dialysis unit is caring for a client who has end-stage kidney disease and is getting ready for their first hemodialysis session. Which of the following topics should the nurse include when discussing the impact of hemodialysis treatment on the client's life? (Select all that apply.)
Diet restrictions
Home recording of the volume removed at each exchange
Risk for depression
Fluid restrictions
Time requirements
Correct Answer : A,C,D,E
A. Diet restrictions: Clients undergoing hemodialysis often have specific dietary restrictions, such as limiting potassium, phosphorus, and sodium intake, as well as managing protein consumption. Educating the client about these restrictions is essential for their health and well-being.
C. Risk for depression: The diagnosis of end-stage kidney disease and the initiation of hemodialysis can lead to emotional challenges, including a risk for depression. It is important for the nurse to address mental health support and coping strategies.
D. Fluid restrictions: Clients on hemodialysis typically have fluid restrictions due to reduced kidney function and the risk of fluid overload. Education on managing fluid intake is critical to avoid complications.
E. Time requirements: Hemodialysis requires a significant time commitment, typically involving sessions lasting about 3 to 5 hours, three times a week. Discussing the time requirements helps the client plan for their treatment schedule and its impact on daily life.
Incorrect:
B. Home recording of the volume removed at each exchange: This option pertains more to peritoneal dialysis than to hemodialysis. In hemodialysis, the focus is on monitoring vital signs and laboratory values during treatment rather than recording volumes removed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
No explanation
Correct Answer is ["A","B","C","D","E"]
Explanation
A.BPH can lead to urinary tract infections and irritation, which may cause dysuria (painful urination).
B.Clients with BPH often experience urinary urgency, which is a sudden and compelling need to urinate.
C.Although not all patients with BPH experience incontinence, some may have it as a result of bladder overactivity or obstruction caused by the enlarged prostate.
D.Increased urinary frequency is common in clients with BPH due to the obstruction of urine flow and bladder irritation.
E.Severe BPH can lead to urinary retention, where the client is unable to void completely or at all, requiring medical intervention.
F.Impotence is not a typical finding directly associated with BPH.
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