A nurse is caring for a client on hemodialysis. The client reports feeling dizzy and weak during the procedure. Which intervention should the nurse implement first?
Check the client's blood pressure and pulse rate.
Administer an antiemetic medication.
Increase the rate of fluid removal during dialysis.
Elevate the client's legs to promote blood flow.
The Correct Answer is A
A) The client's symptoms of dizziness and weakness may indicate hypotension (low blood pressure). The nurse should first check the client's blood pressure and pulse rate to assess for hypotension before implementing further interventions.
B) This statement is incorrect. Administering an antiemetic medication would not address the reported symptoms of dizziness and weakness, which may be related to changes in blood pressure.
C) This statement is incorrect. Increasing the rate of fluid removal during dialysis may exacerbate the client's symptoms of dizziness and weakness and may lead to hypotension (low blood pressure).
D) This statement is incorrect. Elevating the client's legs may help improve blood flow, but it does not address the underlying cause of the reported symptoms. The nurse should first check the client's blood pressure and pulse rate to assess for hypotension before implementing further interventions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Correct. Monitoring the client's blood pressure and heart rate is a priority during dialysis to assess the client's hemodynamic status and detect any potential complications, such as hypotension or arrhythmias.
B. Incorrect. While assisting with dietary s is important, it is not the priority during the dialysis procedure.
C. Incorrect. Providing emotional support is essential, but the nurse's priority during dialysis is to monitor the client's vital signs and ensure their safety during the procedure.
D. Incorrect. Administering prescribed intravenous medications may be necessary during dialysis, but it is not the priority action stated in this question.
Correct Answer is C
Explanation
A) This statement is incorrect. The catheter dressing should be changed regularly as per the healthcare provider's instructions, but it is not typically changed every week.
B) This statement is incorrect. The routine use of antibiotic ointment is not recommended, as it can lead to antibiotic resistance and is not necessary for all clients on peritoneal dialysis.
C) To reduce the risk of infection, the client should avoid touching the catheter site with clean hands. Maintaining proper hand hygiene is essential to prevent infection.
D) This statement is incorrect. Cleaning the catheter site with hydrogen peroxide is not recommended, as it can be too harsh and irritating to the skin. Instead, the site should be cleaned with mild soap and water or as instructed by the healthcare provider.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.