A nurse is caring for a client with chronic kidney disease (CKD) who is scheduled to start hemodialysis. The client asks, "How does hemodialysis work?" Which of the following responses by the nurse is accurate?

"Hemodialysis involves the removal of the peritoneal membrane to filter blood."

"Hemodialysis uses a machine to filter blood outside of your body and then return it."

"Hemodialysis relies on the use of a catheter inserted into your bladder to remove waste."

"Hemodialysis uses a pump to circulate dialysate through your intestines."

Answer and Explanation

The Correct Answer is B

A) This statement is incorrect. Hemodialysis does not involve the removal of the peritoneal membrane; that description is characteristic of peritoneal dialysis.

B) This statement is accurate. Hemodialysis uses a machine called a dialyzer to filter blood outside the body, removing waste products and excess fluid before returning the clean blood to the patient.

C) This statement is incorrect. Hemodialysis does not rely on a catheter inserted into the bladder; that description is characteristic of urinary catheterization.

D) This statement is incorrect. Hemodialysis does not use a pump to circulate dialysate through the intestines; that description is characteristic of peritoneal dialysis.

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Correct Answer is B

Explanation

A) This statement is incorrect. Monitoring hemoglobin levels is essential for clients with ESRD and during hemodialysis, but it is not directly related to the administration of heparin.

B) This statement is accurate. While a drop in platelet count is not uncommon during heparin administration, the nurse should closely monitor the client's platelet count to detect any significant changes or potential complications related to heparin-induced thrombocytopenia.

C) This statement is incorrect. Monitoring blood glucose levels is important, especially for clients with diabetes or those at risk of hypoglycemia during dialysis, but it is not specifically related to heparin administration.

D) This statement is incorrect. Monitoring blood urea nitrogen (BUN) levels is crucial for clients with ESRD, but it is not directly related to the administration of heparin during hemodialysis.

QUESTIONS

A. "Infection is a rare complication of peritoneal dialysis." B. "Infections can occur, but they are usually easy to treat with antibiotics." C. "You will need to take antibiotics regularly to prevent infection." D. "Infection is a common risk, so it is essential to maintain strict aseptic technique."

Correct Answer is D

Explanation

A) This statement is incorrect. Infection is not a rare complication of peritoneal dialysis. It is a common risk that requires proactive measures to prevent.

B) This statement is incorrect. While infections can occur and may be treatable with antibiotics, it is essential to focus on prevention and maintaining aseptic technique.

C) This statement is incorrect. Taking antibiotics regularly to prevent infection is not the standard practice for clients on peritoneal dialysis. Antibiotics are typically prescribed to treat infections when they occur, not as a preventive measure.

D) This statement is accurate. Infection is a significant risk for clients on peritoneal dialysis due to the direct access to the peritoneal cavity through the catheter. Strict aseptic technique is crucial to prevent infections.

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A nurse is caring for a client with chronic kidney disease (CKD) who is scheduled to start hemodialysis. The client asks, "How does hemodialysis work?" Which of the following responses by the nurse is accurate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with end-stage renal disease (ESRD) is receiving heparin during hemodialysis to prevent clotting in the dialyzer. Which of the following laboratory values should the nurse monitor closely while the client is receiving heparin?

Correct Answer is B

Explanation

A nurse is providing education to a client who will be performing peritoneal dialysis at home. The client asks about the risk of infection. Which of the following responses by the nurse is accurate?

Correct Answer is D

Explanation

A client with chronic kidney disease receiving hemodialysis develops bleeding from the access site. What should the nurse do first?

A client on peritoneal dialysis is experiencing abdominal pain and fever. Which of the following actions should the nurse take first?

A nurse is caring for a client who is on continuous ambulatory peritoneal dialysis (CAPD. . What should the nurse include in the client's education regarding self-care during exchanges?

A nurse is caring for a client with end-stage renal disease on dialysis. The client develops a persistent metallic taste in the mouth. What should the nurse do first?

A nurse is caring for a client on hemodialysis who complains of headache and restlessness. The client's blood pressure is elevated compared to baseline. Which of the following actions should the nurse take first?

A client on hemodialysis reports experiencing muscle cramps during the procedure. Which intervention should the nurse implement?

A client on hemodialysis presents with a severe headache, confusion, and seizures. What action should the nurse take first?

A client on hemodialysis has a history of arteriovenous (AV) fistula creation. Which of the following assessments should the nurse perform to ensure proper functioning of the AV fistula?