A client with end-stage renal disease (ESRD) is receiving heparin during hemodialysis to prevent clotting in the dialyzer. Which of the following laboratory values should the nurse monitor closely while the client is receiving heparin?
Hemoglobin levels
Platelet count
Blood glucose levels
Blood urea nitrogen (BUN) levels
The Correct Answer is B
A) This statement is incorrect. Monitoring hemoglobin levels is essential for clients with ESRD and during hemodialysis, but it is not directly related to the administration of heparin.
B) This statement is accurate. While a drop in platelet count is not uncommon during heparin administration, the nurse should closely monitor the client's platelet count to detect any significant changes or potential complications related to heparin-induced thrombocytopenia.
C) This statement is incorrect. Monitoring blood glucose levels is important, especially for clients with diabetes or those at risk of hypoglycemia during dialysis, but it is not specifically related to heparin administration.
D) This statement is incorrect. Monitoring blood urea nitrogen (BUN) levels is crucial for clients with ESRD, but it is not directly related to the administration of heparin during hemodialysis.
QUESTIONS
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Protein intake is generally encouraged for clients on hemodialysis to prevent malnutrition and replace losses during dialysis.
B. Sodium should be limited because excess intake can lead to fluid retention, hypertension, and increased workload on the heart.
C. Calcium intake is typically monitored but not universally restricted unless prescribed; limiting calcium is not a primary dietary recommendation.
D. Iron is often supplemented to prevent anemia associated with chronic kidney disease and dialysis.
Correct Answer is C
Explanation
A)This statement is incorrect. Hemodialysis does not use the peritoneal membrane as a filter. Hemodialysis involves the use of a machine that filters the blood outside the body, not the peritoneal membrane.
B) This statement is incorrect. Continuous ambulatory peritoneal dialysis (CAPD) uses the peritoneal membrane as a filter during manual exchanges of dialysate fluid, not with a machine like automated peritoneal dialysis (APD).
C) This statement is accurate. Automated peritoneal dialysis (APD) uses a machine to perform exchanges of dialysate solution through the peritoneal membrane.
D) This statement is incorrect. Peritoneal dialysis uses the peritoneal membrane as a filter. It involves the instillation and drainage of dialysate fluid into the abdominal cavity through a catheter.
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