A client is to have hemodialysis. What must the nurse do before this treatment?

Administer scheduled medications

Explain that dialysis occurs via the peritoneum

Weigh the client to determine a baseline for comparison

Obtain a serum creatinine to determine kidney function

Answer and Explanation

The Correct Answer is C

A. Administer scheduled medications: Some medications (e.g., antihypertensives, water-soluble vitamins, and antibiotics) should be held before dialysis to prevent removal during treatment.

B. Explain that dialysis occurs via the peritoneum: This describes peritoneal dialysis, not hemodialysis.

C. Weigh the client to determine a baseline for comparison: Pre-dialysis weight is crucial to determine fluid removal needs during dialysis. Weight differences before and after dialysis indicate fluid loss or retention.

D. Obtain a serum creatinine to determine kidney function: Serum creatinine levels are monitored regularly but are not a required step before every dialysis session.

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Correct Answer is D

Explanation

A. Nocturia: Excessive nighttime urination, not decreased urine output.

B. Enuresis: Involuntary urination, commonly bedwetting in children.

C. Anuria: Severe lack of urine output (< 100 mL/24 hrs), which is worse than oliguria.

D. Oliguria: Oliguria is defined as urine output < 400 mL/24 hours. 250 mL in 24 hours qualifies as oliguria.

A. Hypotension B. Polyuria C. Weight loss D. Edema

Correct Answer is D

Explanation

A. Hypotension: Fluid overload typically causes hypertension, not hypotension.

B. Polyuria: ESRD patients typically have oliguria or anuria, not excessive urine output.

C. Weight loss: Fluid overload leads to weight gain due to fluid retention.

D. Edema: Fluid overload causes peripheral and pulmonary edema due to impaired kidney function. Clients may also experience hypertension, dyspnea, and crackles.

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A client is to have hemodialysis. What must the nurse do before this treatment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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