A client with ESRD is undergoing hemodialysis. The nurse should monitor the client closely for signs of which complication associated with this type of dialysis?

Abdominal pain and discomfort

Muscle cramps and twitching

Increased urine output and excessive thirst

Hypotension and low blood pressure

Answer and Explanation

The Correct Answer is D

A. This is incorrect. Abdominal pain and discomfort are not typical complications of hemodialysis.

B. This is incorrect. Muscle cramps and twitching are more commonly associated with ESRD itself or other types of dialysis, such as peritoneal dialysis.

C. This is incorrect. Hemodialysis is intended to remove excess fluids and waste products from the body, leading to decreased urine output, not increased urine output and excessive thirst.

D. This is correct. Hypotension and low blood pressure are common complications of hemodialysis. During the procedure, the rapid removal of fluids can cause a drop in blood pressure, leading to symptoms such as dizziness and lightheadedness.

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Correct Answer is C

Explanation

A. This statement is incorrect. In living donor kidney transplantation, the donor's kidney is surgically removed and transplanted directly into the recipient's body during the same surgical procedure.

B. This statement is incorrect. While both the donor and recipient will undergo surgeries simultaneously, they will be in separate operating rooms.

C. This statement is correct. During the kidney transplant, the donor's kidney is placed in the recipient's lower abdomen, and the recipient's native kidneys, if present and non-functional, may be removed or left in place, depending on the circumstances.

D. This statement is incorrect. The donor's kidney is typically transplanted into the lower abdomen on the opposite side from the recipient's native failed kidney to ensure proper blood supply and surgical access.

A. "I should monitor my blood pressure regularly while taking ESA." B. "I will report any signs of blood clots or shortness of breath to my healthcare provider." C. "I should take iron supplements along with ESA to improve the effectiveness." D. "It's essential to avoid vaccinations while on ESA therapy to prevent infections."

Correct Answer is D

Explanation

A. This statement is accurate. ESA therapy can sometimes cause an increase in blood pressure, and the client should monitor their blood pressure regularly to ensure it is well-controlled.

B. This statement is accurate. ESA therapy can increase the risk of blood clots, and clients should be vigilant for signs of blood clots or shortness of breath, as it may indicate a potential complication.

C. This statement is accurate. Iron supplements are often prescribed along with ESA to enhance their effectiveness in treating anemia. Iron helps in the production of red blood cells.

D. This statement is incorrect. There is no evidence to suggest that clients on ESA therapy should avoid vaccinations. In fact, vaccination is important for clients with ESRD to protect against infections, which can be particularly dangerous for individuals with compromised kidney function.

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A client with ESRD is undergoing hemodialysis. The nurse should monitor the client closely for signs of which complication associated with this type of dialysis?

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Naxlex Comprehensive Predictor Exams

A client with ESRD has found a suitable living kidney donor. The client asks the nurse about the surgical procedure for the kidney transplant. Which response by the nurse is accurate?

Correct Answer is C

Explanation

A client with ESRD is prescribed erythropoietin-stimulating agents (ES to manage anemia. The nurse educates the client about ESA therapy. Which statement by the client indicates a need for further teaching?

Correct Answer is D

Explanation

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A client with ESRD is undergoing hemodialysis. The nurse should monitor the client closely for signs of which complication associated with this type of dialysis?

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