A client on hemodialysis reports experiencing muscle cramps during the procedure. Which intervention should the nurse implement?
Increase the dialysis session duration.
Increase the dialysate solution temperature.
Decrease the dialysate solution flow rate.
Administer an anticoagulant medication.
The Correct Answer is B
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) This statement is incorrect. Administering an analgesic for the abdominal pain may provide temporary relief, but it does not address the underlying cause of the symptoms.
B) This statement is incorrect. Measuring blood pressure and pulse rate is essential for client assessment, but it may not provide enough information to determine the cause of the symptoms.
C) This statement is accurate. Abdominal pain and fever in a client on peritoneal dialysis may indicate peritonitis, which can result from infection or catheter issues. The nurse should first check the catheter for kinks or obstructions to ensure proper drainage and prevent complications.
D) This statement is incorrect. Notifying the healthcare provider about the symptoms is important, but the nurse should first assess the catheter for possible issues to determine if immediate intervention is needed.
Correct Answer is B
Explanation
A) This statement is incorrect. Hemodialysis does not involve the removal of the peritoneal membrane; that description is characteristic of peritoneal dialysis.
B) This statement is accurate. Hemodialysis uses a machine called a dialyzer to filter blood outside the body, removing waste products and excess fluid before returning the clean blood to the patient.
C) This statement is incorrect. Hemodialysis does not rely on a catheter inserted into the bladder; that description is characteristic of urinary catheterization.
D) This statement is incorrect. Hemodialysis does not use a pump to circulate dialysate through the intestines; that description is characteristic of peritoneal dialysis.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.