A nurse is assisting with the care of a client who has hypertension and chronic kidney disease. The client is scheduled for hemodialysis. Which of the following actions should the nurse plan to take while caring for this client? (Select all that apply.)
Obtain the client’s weight.
Verify the glomerular filtration rate.
Check the graft site for a palpable thrill.
Document vital signs.
Administer a sedative to the client.
Correct Answer : A,C,D
The correct answers are Choices A, C, and D.
Choice A rationale: Obtaining the client's weight is important before and after hemodialysis to assess fluid removal and monitor the patient's fluid balance.
Choice B rationale: Verifying the glomerular filtration rate (GFR) is not necessary immediately before hemodialysis. GFR is typically assessed periodically to monitor kidney function but is not required for each dialysis session.
Choice C rationale: Checking the graft site for a palpable thrill is essential to ensure the arteriovenous (AV) fistula or graft is functioning properly. The thrill indicates that blood is flowing through the access site.
Choice D rationale: Documenting vital signs is crucial before, during, and after hemodialysis to monitor the client's hemodynamic status and detect any complications.
Choice E rationale: Administering a sedative is not a routine part of hemodialysis care. Sedatives may be prescribed for specific situations, but it is not standard practice.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
COPD is incorrect. Chronic obstructive pulmonary disease (COPD) is a respiratory condition and is not a risk factor for urinary tract infections (UTIs). UTIs are typically caused by bacterial infections in the urinary tract.
Choice B rationale
Anemia is incorrect. Anemia is a condition characterized by a deficiency of red blood cells or hemoglobin. It is not a direct risk factor for UTIs. UTIs are primarily caused by bacterial infections.
Choice C rationale
Diabetes mellitus is correct. Diabetes mellitus is a significant risk factor for UTIs. High blood sugar levels can create an environment that promotes bacterial growth in the urinary tract. Additionally, individuals with diabetes may have impaired immune function, making them more susceptible to infections.
Choice D rationale
Osteoporosis is incorrect. Osteoporosis is a condition characterized by weakened bones and an increased risk of fractures. It is not a risk factor for UTIs. UTIs are primarily caused by bacterial infections in the urinary tract.
Correct Answer is ["0.6"]
Explanation
Step 1: Calculate the dose required. 30 mg ÷ (50 mg/mL) = 0.6 mL The nurse should administer 0.6 mL per dose. 1: [Memorial Sloan Kettering Cancer Center]
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