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?
Offer the client hard candies or mints to alleviate the taste.
Assess the client's recent dietary and medication changes.
Provide the client with an oral rinse to refresh the taste buds.
Administer a prescribed antiemetic medication.
The Correct Answer is B
A. Incorrect. Offering hard candies or mints may provide temporary relief from the metallic taste, but it does not address the underlying cause.
B. Correct. A persistent metallic taste in the mouth can be caused by various factors, such as dietary changes, medication side effects, or biochemical imbalances. Assessing the client's recent dietary and medication changes can help identify the potential cause.
C. Incorrect. Providing an oral rinse may offer temporary relief, but it does not address the underlying cause of the metallic taste.
D. Incorrect. Administering an antiemetic medication is not indicated for a metallic taste in the mouth, as it is not associated with nausea or vomiting.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A) This statement is incorrect. Hypernatremia (high sodium levels) is not the primary indication for initiating dialysis in this case. Metabolic acidosis and the inability of the kidneys to excrete acids are the primary concerns.
B) This statement is incorrect. Hyperkalemia (elevated potassium levels) may occur in CKD, but it is not the primary indication described in the scenario. Metabolic acidosis is the primary concern leading to the need for dialysis.
C) This statement is incorrect. Hypocalcemia (low calcium levels) can be a complication of CKD, but it is not the primary indication for initiating dialysis in this scenario. Metabolic acidosis and its associated symptoms take precedence.
D) Severe metabolic acidosis, which results from the kidneys' inability to adequately excrete acids and regulate pH balance, is a critical indication for initiating dialysis in clients with CKD.
Correct Answer is C
Explanation
A. Incorrect. Using sterile technique when handling the catheter is essential to prevent infection. Clients and caregivers should be taught the proper aseptic technique for catheter care.
B. Incorrect. Alcohol wipes can dry out the skin and are not recommended for cleaning the catheter insertion site. A more appropriate solution is provided in the correct answer.
C. Correct. Changing the dressing over the catheter daily using clean gloves helps maintain a clean and dry site, reducing the risk of infection during peritoneal dialysis.
D. Incorrect. The catheter should not be immersed in water during bathing or showering, as this can introduce pathogens and increase the risk of infection.
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.