A nurse is caring for a client on hemodialysis who is experiencing muscle cramps during the procedure. Which intervention should the nurse implement?

Increase the dialysis session duration.

Increase the dialysate solution temperature.

Decrease the dialysate solution flow rate.

Administer an anticoagulant medication.

Answer and Explanation

The Correct Answer is A

A) This statement is incorrect. Increasing the dialysis session duration would not address the client's muscle cramps and may lead to further fluid and electrolyte imbalances.

B) Muscle cramps during hemodialysis can be caused by the cooling effect of the dialysate solution. Increasing the temperature of the dialysate can help alleviate the cramps.

C) This statement is incorrect. Decreasing the dialysate solution flow rate may not directly address the muscle cramps and may not be indicated unless there are other clinical indications to do so.

D) This statement is incorrect. Administering an anticoagulant medication is not relevant to address muscle cramps. Muscle cramps during hemodialysis are often caused by the cooling effect of the dialysate solution. Increasing the temperature of the dialysate can help alleviate the cramps.

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Correct Answer is C

Explanation

A)This statement is incorrect. Hemodialysis does not use the peritoneal membrane as a filter. Hemodialysis involves the use of a machine that filters the blood outside the body, not the peritoneal membrane.

B) This statement is incorrect. Continuous ambulatory peritoneal dialysis (CAPD) uses the peritoneal membrane as a filter during manual exchanges of dialysate fluid, not with a machine like automated peritoneal dialysis (APD).

C) This statement is accurate. Automated peritoneal dialysis (APD) uses a machine to perform exchanges of dialysate solution through the peritoneal membrane.

D) This statement is incorrect. Peritoneal dialysis uses the peritoneal membrane as a filter. It involves the instillation and drainage of dialysate fluid into the abdominal cavity through a catheter.

A. "I should avoid using the arm with the arteriovenous (AV) fistula for blood pressure measurements." B. "I can use the AV fistula arm for intravenous catheter insertion." C. "I should avoid performing self-cannulation of my AV graft." D. "I can apply pressure to my AV fistula site if it starts bleeding."

Correct Answer is A

Explanation

A. Correct. Using the arm with the AV fistula for blood pressure measurements can compress the vascular access and compromise blood flow. It is important to avoid using the fistula arm for blood pressure measurements and venipuncture.

B. Incorrect. The AV fistula should not be used for intravenous catheter insertion to prevent potential damage and infection to the access site.

C. Incorrect. Self-cannulation of the AV graft is typically performed by healthcare professionals, and clients should not attempt to self-cannulate their vascular access.

D. Incorrect. If an AV fistula starts bleeding, the client should not apply pressure to the site. Instead, they should immediately elevate the arm and apply pressure to the bleeding site with a clean cloth or bandage while seeking medical attention.

QUESTIONS

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A nurse is caring for a client on hemodialysis who is experiencing muscle cramps during the procedure. Which intervention should the nurse implement?

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Naxlex Comprehensive Predictor Exams

A nurse is educating a client about the different types of dialysis. The client asks which type of dialysis uses the peritoneal membrane as a filter. Which of the following responses by the nurse is accurate?

Correct Answer is C

Explanation

A nurse is teaching a client undergoing hemodialysis about the importance of maintaining vascular access. Which statement by the client indicates a correct understanding of the teaching?

Correct Answer is A

Explanation

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