A client with ESRD undergoing hemodialysis complains of nausea and vomiting during the procedure. The nurse should take which action to address this symptom?

Increase the dialysis flow rate to shorten the duration of the procedure

Assess the client's weight gain between dialysis sessions

Administer an antiemetic medication as prescribed

Encourage the client to increase fluid intake during dialysis

Answer and Explanation

The Correct Answer is C

A. This is incorrect. Increasing the dialysis flow rate can exacerbate the client's symptoms and lead to further complications, such as hypotension and cramping.

B. This is not the most appropriate action to address the client's current symptoms of nausea and vomiting during the procedure. Assessing weight gain between dialysis sessions is essential for overall fluid management but may not directly address the acute symptoms.

C. This is correct. Administering an antiemetic medication can help alleviate nausea and vomiting during the dialysis procedure. Antiemetics can prevent or reduce these symptoms, making the dialysis session more tolerable for the client.

D. This is incorrect. Increasing fluid intake during dialysis may not be appropriate, as the goal of hemodialysis is to remove excess fluids from the body. Encouraging increased fluid intake could lead to fluid overload and worsen the client's symptoms.

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Correct Answer is A

Explanation

A. This is correct. ESRD often leads to hypertension and increased cardiovascular risk due to fluid retention, electrolyte imbalances, and activation of the renin-angiotensin-aldosterone system.

B. This is incorrect. Clients with ESRD are at increased risk for bone fractures and calcium imbalances due to impaired calcium and phosphorus metabolism, leading to bone demineralization and increased fracture risk.

C. This is incorrect. ESRD is not associated with improved vision or eye health; in fact, clients with ESRD may experience eye complications, such as retinopathy, due to the effects of diabetes and hypertension on the retina.

D. This is incorrect. ESRD can affect the gastrointestinal system, leading to complications such as nausea, vomiting, and gastrointestinal bleeding due to the accumulation of waste products and electrolyte imbalances.

A. "PKD is a genetic disorder inherited from one or both parents." B. "PKD is primarily caused by long-term exposure to certain environmental toxins." C. "PKD is an autoimmune disorder where the body attacks the kidneys." D. "PKD is a result of chronic kidney infections that damage the kidney tissue."

Correct Answer is A

Explanation

A. This is correct. Polycystic kidney disease (PKD. is a genetic disorder, and individuals with a family history of PKD have a higher risk of developing the condition. It can be inherited from one or both parents, and the mutated gene responsible for PKD affects the development of fluid-filled cysts in the kidneys.

B. This is incorrect. While exposure to certain environmental toxins can contribute to kidney damage, it is not the cause of PKD.

C. This is incorrect. PKD is not an autoimmune disorder; it is a genetic disorder characterized by the growth of cysts in the kidneys.

D. This is incorrect. PKD is not caused by chronic kidney infections; it is a genetic condition that results in the formation of cysts within the kidney tissue.

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A client with ESRD undergoing hemodialysis complains of nausea and vomiting during the procedure. The nurse should take which action to address this symptom?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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