A client with end-stage renal disease (ESRD) is experiencing severe fatigue, weakness, and decreased urine output. Laboratory tests show elevated levels of blood urea nitrogen (BUN) and creatinine. Which of the following is the primary indication for initiating dialysis in this client?

Hyperkalemia

Hypophosphatemia

Uremia

Hyponatremia

Answer and Explanation

The Correct Answer is C

A) This statement is incorrect. Hyperkalemia (elevated potassium levels) can be a concern in ESRD, but it is not the primary indication described in the scenario. While hyperkalemia may occur in ESRD, the primary concern leading to the need for dialysis is the uremia and its associated symptoms.

B) This statement is incorrect. Hypophosphatemia (low phosphorus levels) can be a concern in ESRD, but it is not the primary indication for initiating dialysis in this case. Uremia and its associated symptoms are the primary concerns leading to the need for dialysis.

C) Uremia, which is characterized by elevated levels of urea and other waste products in the blood, is a critical indication for initiating dialysis in clients with end-stage renal disease. Dialysis helps remove these toxic substances from the bloodstream and may alleviate symptoms like fatigue, weakness, and decreased urine output.

D) This statement is incorrect. Hyponatremia (low sodium levels) is not the primary indication for initiating dialysis in this scenario. Uremia and the accumulation of waste products are the primary concerns that require dialysis to address.

QUESTIONS

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Correct Answer is C

Explanation

A) This statement is incorrect. Increasing the rate of fluid removal during dialysis may worsen the client's symptoms of lightheadedness and dizziness, as it can lead to further drops in blood pressure.

B) This statement is incorrect. Administering an antihypertensive medication is not appropriate in this situation, as the client is experiencing symptoms of low blood pressure, not high blood pressure.

C) This statement is accurate. Feeling lightheaded and dizzy during hemodialysis may be a sign of hypotension (low blood pressure), and the nurse should assess the client's blood pressure and pulse rate to determine if intervention is needed.

D) This statement is incorrect. Elevating the client's legs may promote blood flow, but it does not address the immediate issue of lightheadedness and dizziness. Assessing the client's blood pressure and pulse rate is the priority to determine the appropriate intervention.

A. "Infection is a rare complication of peritoneal dialysis." B. "Infections can occur, but they are usually easy to treat with antibiotics." C. "You will need to take antibiotics regularly to prevent infection." D. "Infection is a common risk, so it is essential to maintain strict aseptic technique."

Correct Answer is D

Explanation

A) This statement is incorrect. Infection is not a rare complication of peritoneal dialysis. It is a common risk that requires proactive measures to prevent.

B) This statement is incorrect. While infections can occur and may be treatable with antibiotics, it is essential to focus on prevention and maintaining aseptic technique.

C) This statement is incorrect. Taking antibiotics regularly to prevent infection is not the standard practice for clients on peritoneal dialysis. Antibiotics are typically prescribed to treat infections when they occur, not as a preventive measure.

D) This statement is accurate. Infection is a significant risk for clients on peritoneal dialysis due to the direct access to the peritoneal cavity through the catheter. Strict aseptic technique is crucial to prevent infections.

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A client with end-stage renal disease (ESRD) is experiencing severe fatigue, weakness, and decreased urine output. Laboratory tests show elevated levels of blood urea nitrogen (BUN) and creatinine. Which of the following is the primary indication for initiating dialysis in this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client on hemodialysis reports feeling lightheaded and dizzy during the procedure. Which of the following actions should the nurse take first?

Correct Answer is C

Explanation

A nurse is providing education to a client who will be performing peritoneal dialysis at home. The client asks about the risk of infection. Which of the following responses by the nurse is accurate?

Correct Answer is D

Explanation

A nurse is caring for a client who is on continuous ambulatory peritoneal dialysis (CAPD. . What should the nurse include in the client's education regarding self-care during exchanges?

A client on hemodialysis has a history of arteriovenous (AV) fistula creation. Which of the following assessments should the nurse perform to ensure proper functioning of the AV fistula?

A nurse is providing education to a client who will be starting peritoneal dialysis. The client asks, "How does peritoneal dialysis work?" Which of the following responses by the nurse is accurate?

A client receiving peritoneal dialysis reports cloudy dialysate effluent during an exchange. What should the nurse do first?

A nurse is caring for a client on hemodialysis. The client reports feeling dizzy and weak during the procedure. Which intervention should the nurse implement first?

A nurse is caring for a client with end-stage renal disease (ESRD) who is starting peritoneal dialysis. The client expresses concerns about the impact on their daily activities. Which of the following responses by the nurse is appropriate?

A nurse is educating a client about the different types of dialysis. The client asks which type of dialysis uses the peritoneal membrane as a filter. Which of the following responses by the nurse is accurate?

A client on peritoneal dialysis is prescribed erythropoietin-stimulating agents (ESAs) to manage anemia. Which of the following laboratory values should the nurse monitor closely during ESA therapy?