A client with end-stage renal disease is starting dialysis. What information should the nurse include in the client's education about fluid intake?
"You should limit your fluid intake to prevent dehydration."
"Consume plenty of fluids to compensate for dialysis fluid removal."
"Increase your salt intake to help retain fluids."
"Limit your fluid intake only on the day of dialysis treatment."
The Correct Answer is B
A. Incorrect. Limiting fluid intake is important for some clients with renal issues, but clients on dialysis typically need to maintain adequate hydration due to fluid removal during the procedure.
B. Correct. Clients on dialysis often need to consume plenty of fluids to compensate for the fluid removal that occurs during dialysis treatment, preventing dehydration and maintaining hemodynamic stability.
C. Incorrect. Increasing salt intake is not recommended for clients on dialysis, as it can contribute to fluid retention and worsen hypertension.
D. Incorrect. Limiting fluid intake only on the day of dialysis treatment is not sufficient to maintain overall hydration and may lead to imbalances and complications between dialysis sessions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Incorrect. While administering an antiepileptic medication may be necessary if the client is experiencing seizures, it is essential to identify the underlying cause first.
B. Correct. The client's severe headache, confusion, and seizures may be indicative of dialysis disequilibrium syndrome, which is a complication of rapid solute removal during hemodialysis. Hypoglycemia can also present with similar symptoms, so assessing blood glucose levels is crucial to differentiate between the two conditions.
C. Incorrect. Documenting the findings and monitoring the client's condition are important, but addressing the acute symptoms and potential cause should be the priority.
D. Incorrect. Checking the client's pre-dialysis weight is not the priority when the client is experiencing severe neurological symptoms. Immediate assessment and intervention are needed.
Correct Answer is B
Explanation
A. Incorrect. Increasing the dialysate temperature can lead to vasodilation and potentially exacerbate hypotension during dialysis.
B. Correct. Limiting fluid removal during dialysis is essential to prevent excessive fluid loss, which can cause hypotension and potentially lead to intradialytic hypotension.
C. Incorrect. Encouraging a high-sodium diet is not the primary intervention to prevent dialysis-related hypotension. It may be recommended for some clients to manage hyponatremia, but fluid management is more critical.
D. Incorrect. Administering intravenous hypertonic saline during dialysis is not a routine intervention to prevent hypotension. It may be used in specific cases, but fluid management is the primary approach.
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