A nurse is caring for a client who has end-stage kidney disease who will soon begin hemodialysis treatments. Which of the following restrictions should the nurse discuss with the client that may impact quality of life?(Select All that Apply.)

Restricting airplane travel

Limiting social activities to twice a week

Time constraints

Driving restrictions

Restricting fluid intake

Restricting foods high in potassium, sodium, and phosphorus

Answer and Explanation

Correct Answer : C,D,E,F

A. Restricting airplane travel is not typically a restriction for clients undergoing hemodialysis. With appropriate planning, travel can still be possible, though it may require adjustments such as scheduling dialysis treatments while traveling. Therefore, it may not have a major impact on quality of life for most clients.
B. Limiting social activities to twice a week is not a typical restriction associated with hemodialysis. Although dialysis treatments may limit the time available for activities, it does not specifically limit social interactions to twice a week unless the client’s health deteriorates.
C. Time constraints are a significant concern. Hemodialysis typically requires the client to spend several hours (usually 3-5 hours) per session, 3 times a week, which can disrupt daily routines, work, and personal activities. This can impact the client’s quality of life.
D. Driving restrictions may apply. Many clients on hemodialysis are advised not to drive immediately after dialysis treatments due to potential fatigue, dizziness, or changes in blood pressure. This can impact the client's ability to travel independently and manage daily activities.
E. Restricting fluid intake is a common and critical aspect of hemodialysis. Clients with end-stage kidney disease need to be very careful about how much fluid they consume because their kidneys cannot excrete excess fluid effectively. This restriction can lead to discomfort and can significantly impact quality of life.
F. Restricting foods high in potassium, sodium, and phosphorus is important for clients with end-stage kidney disease undergoing hemodialysis. These dietary restrictions help maintain electrolyte balance and prevent complications like hyperkalemia and hyperphosphatemia, which can be life-threatening. However, adhering to these dietary restrictions can impact social and cultural aspects of the client's life and overall enjoyment of food.

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Correct Answer is ["B","C","D","E","F"]

Explanation

A. ECG can detect complications like bradycardia or QT prolongation, but does not in itself indicate progress unless compared over time. It's more useful as a diagnostic tool than a treatment response marker.
B. Weight gain is one of the most reliable markers of recovery in anorexia nervosa. If the client is gaining weight steadily as part of a refeeding plan, it strongly indicates progress.
C. Sodium level: Electrolyte imbalances (such as hyponatremia) are common due to malnutrition and purging behaviors. A normalized sodium level indicates physiological recovery.
D. Respiratory assessment: Improvement in respiratory rate (from 24 → 20/min) and increased SpO2 (93% → 96%) suggest better respiratory and overall metabolic function.
E. Temperature: An increase in body temperature indicates improvement in metabolic rate and nutritional status, both of which are impaired in severe malnutrition.
F. Creatinine level reflects kidney function and muscle mass. Improvement or normalization of creatinine levels is a positive sign of physiological restoration in anorexia.

A. Dextrose 5% in 0.45% sodium chloride B. Oral hypoglycemic medications C. Glucocorticoid medications D. 0.9% sodium chloride IV bolus

Correct Answer is D

Explanation

A. Dextrose 5% in 0.45% sodium chloride is incorrect. Dextrose is not typically given in the initial management of diabetic ketoacidosis (DKA) because it can elevate blood glucose levels further. The primary goal in treating DKA is to lower the blood glucose level and correct the acidosis, not to add glucose to the system at this stage.
B. Oral hypoglycemic medications are not appropriate in DKA. The client is in a state of severe hyperglycemia and acidosis, and oral medications are ineffective for rapid glucose control in this emergency. Insulin is the treatment of choice.
C. Glucocorticoid medications are not indicated in DKA treatment. Glucocorticoids could actually worsen hyperglycemia, and they are not used to treat DKA.
D. 0.9% sodium chloride IV bolus is correct. In DKA, dehydration is common due to osmotic diuresis, and the priority treatment is to restore fluid balance. An IV bolus of normal saline (0.9% sodium chloride) is the first step to rehydrate the client and improve circulation. Once hydration begins, insulin therapy is typically initiated to reduce blood glucose and address the acidosis.

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A nurse is caring for a client who has end-stage kidney disease who will soon begin hemodialysis treatments. Which of the following restrictions should the nurse discuss with the client that may impact quality of life?(Select All that Apply.)

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Naxlex Comprehensive Predictor Exams

A nurse on an inpatient eating disorder unit is caring for a client who has anorexia nervosa. Exhibits A nurse on an inpatient eating disorder unit is assessing a client. Which of the following assessment findings indicate a therapeutic response to the treatment plan? Select all that apply.

Correct Answer is ["B","C","D","E","F"]

Explanation

A nurse in an emergency department is caring for a client who has diabetic ketoacidosis (DKA) and a blood glucose level of 925 mg/dL. The nurse should anticipate which of the following prescriptions from the provider?

Correct Answer is D

Explanation

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