A nurse is providing education to a client who will be starting dialysis. Which statement by the nurse is correct regarding dietary changes?

"You should limit your protein intake to preserve kidney function."

"Increase your sodium intake to maintain blood pressure during dialysis."

"Avoid potassium-rich foods to prevent hyperkalemia."

"Consume a high-phosphorus diet to support bone health."

Answer and Explanation

The Correct Answer is C

A. Incorrect. Protein intake is essential for maintaining body functions, but clients on dialysis may need to adjust their protein intake based on their individual needs and dialysis prescription.

B. Incorrect. Clients on dialysis may need to limit their sodium intake to manage fluid retention and blood pressure.

C. Correct. Clients on dialysis often need to avoid potassium-rich foods to prevent hyperkalemia, as the kidneys are unable to adequately remove excess potassium from the blood.

D. Incorrect. Clients on dialysis typically need to restrict their phosphorus intake to prevent complications related to high phosphorus levels, such as bone disease and cardiovascular issues.

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Correct Answer is B

Explanation

A. Incorrect. Increasing the dialysate temperature can lead to vasodilation and potentially exacerbate hypotension during dialysis.

B. Correct. Limiting fluid removal during dialysis is essential to prevent excessive fluid loss, which can cause hypotension and potentially lead to intradialytic hypotension.

C. Incorrect. Encouraging a high-sodium diet is not the primary intervention to prevent dialysis-related hypotension. It may be recommended for some clients to manage hyponatremia, but fluid management is more critical.

D. Incorrect. Administering intravenous hypertonic saline during dialysis is not a routine intervention to prevent hypotension. It may be used in specific cases, but fluid management is the primary approach.

A. Palpate for a thrill or vibration over the AV fistula site. B. Auscultate for bruits over the radial artery. C. Check for distal pulses in the lower extremities. D. Assess for swelling and tenderness in the neck.

Correct Answer is A

Explanation

A) This statement is accurate. Palpating for a thrill or vibration over the AV fistula site is a critical assessment to ensure proper functioning. A thrill indicates adequate blood flow through the fistula, which is essential for effective hemodialysis.

B) This statement is incorrect. Auscultating for bruits over the radial artery is not related to the AV fistula assessment. The bruit is the sound of blood flow in the fistula, which is best assessed directly over the fistula site.

C) This statement is incorrect. Checking for distal pulses in the lower extremities is not related to the assessment of an AV fistula. The AV fistula is typically created in the upper extremity.

D) This statement is incorrect. Assessing for swelling and tenderness in the neck is not related to the AV fistula assessment. Swelling and tenderness may be related to other issues but are not specific to AV fistula functioning.

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A nurse is providing education to a client who will be starting dialysis. Which statement by the nurse is correct regarding dietary changes?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client undergoing hemodialysis. Which intervention is essential to prevent dialysis-related hypotension?

Correct Answer is B

Explanation

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?

Correct Answer is A

Explanation

A nurse is caring for a client with end-stage renal disease (ESRD). The client's blood work shows elevated levels of creatinine, blood urea nitrogen (BUN), and potassium. Which of the following conditions is the primary indication for initiating dialysis?

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?

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A client on peritoneal dialysis is concerned about the risk of infection at the catheter insertion site. Which of the following instructions should the nurse provide to the client?

A client with end-stage renal disease is starting dialysis. What information should the nurse include in the client's education about fluid intake?

A client on hemodialysis develops a sudden onset of chest pain and dyspnea. What is the nurse's priority action?

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