A client with ESRD is receiving hemodialysis as part of their treatment plan. The nurse educates the client about potential complications during dialysis. Which information should the nurse include in the education?
"Hemodialysis can cause fluid overload and may lead to swelling and shortness of breath."
"You may experience increased appetite and weight gain after each hemodialysis session."
"Hemodialysis can increase your blood pressure, so it's essential to monitor it regularly."
"During hemodialysis, your potassium levels may drop, leading to muscle weakness."
The Correct Answer is A
A. This is correct. Hemodialysis is performed to remove waste products and excess fluids from the body, but there is a risk of fluid overload during the procedure. It is essential for the client to be monitored for signs of fluid retention, such as swelling and shortness of breath.
B. This is incorrect. Hemodialysis typically reduces fluid overload and may lead to decreased appetite and weight loss, not weight gain.
C. This is incorrect. Hemodialysis is used to manage fluid and electrolyte imbalances, including blood pressure regulation. While blood pressure may fluctuate during the dialysis procedure, it is not a common complication to increase blood pressure.
D. This is incorrect. Hemodialysis is used to regulate potassium levels in clients with ESRD, as high potassium levels can be dangerous. It is more common for potassium levels to be reduced during hemodialysis, not increased.
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Correct Answer is B
Explanation
A. This is incorrect because ESRD is not a reversible condition. Once the kidneys have reached this stage, their ability to function is permanently lost, and treatment focuses on managing the condition and replacing kidney function through dialysis or transplantation.
B. This is correct. ESRD is the final stage of chronic kidney disease, where the kidneys have lost their ability to function adequately to sustain life. At this stage, the client requires renal replacement therapy such as dialysis or kidney transplantation to survive.
C. This is incorrect because ESRD is not a temporary condition caused by an infection; it is a chronic and irreversible condition.
D. This is incorrect because ESRD is not a condition where the kidneys can recover with proper management. Once the kidneys have reached end-stage, their ability to function is permanently compromised.
Correct Answer is C
Explanation
A. This is not directly related to the client's successful home-based peritoneal dialysis. While companionship is essential for many clients, it is not a critical factor for dialysis treatment.
B. This is not the most appropriate factor to assess for home-based peritoneal dialysis. Availability of transportation is crucial for clients who may need to travel for hemodialysis sessions, not for clients undergoing peritoneal dialysis at home.
C. This is correct. Access to a reliable electricity source is crucial for home-based peritoneal dialysis since the peritoneal dialysis machine requires electricity to function properly. The machine helps with the exchange of dialysate, which is necessary for effective treatment.
D. This is not directly related to home-based peritoneal dialysis. While proximity to a local hospital or medical facility is always important for any client, it is not a primary factor for choosing home-based peritoneal dialysis as a treatment option.
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