A nurse is caring for a client with acute renal failure who is receiving hemodialysis. The client's blood pressure drops significantly during the procedure. What is the nurse's priority action?
Increase the rate of dialysis to complete the procedure quickly.
Administer an antihypertensive medication to lower the blood pressure.
Stop the dialysis procedure and notify the healthcare provider.
Increase the client's fluid intake to raise blood pressure.
The Correct Answer is C
A. Incorrect. Increasing the rate of dialysis may further lower the client's blood pressure and worsen the situation.
B. Incorrect. Administering an antihypertensive medication during a hypotensive episode could exacerbate the client's low blood pressure.
C. Correct. The nurse's priority action is to stop the dialysis procedure immediately and notify the healthcare provider of the significant drop in blood pressure. The client may be experiencing a hypotensive episode, which requires prompt evaluation and intervention.
D. Incorrect. Increasing the client's
fluid intake is not appropriate during a hypotensive episode, as it may not rapidly improve blood pressure and could lead to fluid overload.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Correct. Dehydration is a significant risk factor for prerenal acute renal failure. Insufficient fluid intake or excessive fluid loss (e.g., vomiting, diarrheA. can lead to decreased blood volume and decreased blood flow to the kidneys, impairing kidney function.
B. Incorrect. A UTI can cause kidney injury but is not specifically associated with prerenal acute renal failure.
C. Incorrect. Chronic kidney disease (CKD. is a risk factor for the development of intrinsic acute renal failure, but it is not directly related to prerenal causes.
D. Incorrect. Diabetes mellitus is a risk factor for chronic kidney disease, but it is not a specific risk factor for prerenal acute renal failure.
Correct Answer is B
Explanation
A. Incorrect. Cloudy dialysis fluid may indicate infection or peritonitis, which requires immediate attention and intervention.
B. Correct. Cloudy dialysis fluid may indicate infection or peritonitis, which can be a severe complication of peritoneal dialysis. The nurse should stop the procedure immediately and notify the healthcare provider for further assessment and management.
C. Incorrect. Administering antibiotics without a proper diagnosis and healthcare provider's order is not appropriate.
D. Incorrect. Increasing the dwell time would not address the issue of cloudy dialysis fluid and potential infection.
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