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","E"]
Explanation
Correct Actions:
B. Test the pH of gastric aspirate.
Explanation: Testing the pH of gastric aspirate helps confirm that the NG tube is correctly positioned in the stomach. A pH of 4 or less generally indicates gastric placement. This step is crucial to avoid complications like aspiration and ensure proper feeding.
E. Check the tube's placement and patency.
Explanation: Ensuring that the tube is correctly positioned and patent (not blocked) is essential before administering feedings. This involves aspirating some of the gastric contents to confirm placement and flushing the tube with water to verify it is clear and functioning properly.
Incorrect Actions:
A. Discard residual gastric contents.
Explanation: While it is important to measure gastric residuals to assess the stomach's ability to handle the feeding, residuals are not discarded. Instead, they are measured and then returned to the stomach unless otherwise specified by the healthcare provider.
C. Auscultate sounds.
Explanation: Auscultation of bowel sounds is not typically required immediately before administering enteral feedings. However, assessing bowel sounds periodically can be part of overall monitoring to ensure proper gastrointestinal function.
D. Warm the formula to body temperature.
Explanation: Enteral feeding formulas are generally administered at room temperature, although some facilities may have specific protocols for warming. Most guidelines do not require warming formula to body temperature.
Correct Answer is D
No explanation
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