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 B

Explanation

A. This response is not appropriate. Telling the client to ignore their feelings can invalidate their emotions and may lead to further distress.

B. This response is the correct approach. Acknowledging the client's emotions as normal and suggesting joining a support group allows the client to connect with others who can empathize with their experiences and provide emotional support.

C. This response is not helpful. Encouraging the client to be more positive dismisses their genuine feelings and does not address their emotional needs.

D. This response is not supportive. Encouraging the client to talk less to their family about their feelings can lead to feelings of isolation and may hinder the client from seeking the support they need.

A. Abdominal pain and discomfort B. Muscle cramps and twitching C. Increased urine output and excessive thirst D. Hypotension and low blood pressure

Correct Answer is D

Explanation

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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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

A client with End-Stage Renal Disease (ESRD. is expressing feelings of sadness, frustration, and isolation since starting dialysis. The client asks the nurse for advice on coping with these emotions. Which response by the nurse is appropriate?

Correct Answer is B

Explanation

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?

Correct Answer is D

Explanation

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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?