A nurse on the dialysis unit is caring for a client who has end-stage kidney disease and is getting ready for their first hemodialysis session. Which of the following topics should the nurse include when discussing the impact of hemodialysis treatment on the client's life? (Select all that apply.)
Diet restrictions
Home recording of the volume removed at each exchange
Risk for depression
Fluid restrictions
Time requirements
Correct Answer : A,C,D,E
A. Diet restrictions: Clients undergoing hemodialysis often have specific dietary restrictions, such as limiting potassium, phosphorus, and sodium intake, as well as managing protein consumption. Educating the client about these restrictions is essential for their health and well-being.
C. Risk for depression: The diagnosis of end-stage kidney disease and the initiation of hemodialysis can lead to emotional challenges, including a risk for depression. It is important for the nurse to address mental health support and coping strategies.
D. Fluid restrictions: Clients on hemodialysis typically have fluid restrictions due to reduced kidney function and the risk of fluid overload. Education on managing fluid intake is critical to avoid complications.
E. Time requirements: Hemodialysis requires a significant time commitment, typically involving sessions lasting about 3 to 5 hours, three times a week. Discussing the time requirements helps the client plan for their treatment schedule and its impact on daily life.
Incorrect:
B. Home recording of the volume removed at each exchange: This option pertains more to peritoneal dialysis than to hemodialysis. In hemodialysis, the focus is on monitoring vital signs and laboratory values during treatment rather than recording volumes removed.
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Related Questions
Correct Answer is C
Explanation
A.Hypokalemia usually causes muscle weakness, decreased deep tendon reflexes, and cramps, not hyperreflexia.
B.While dehydration might be a consequence of vomiting and diarrhea, extreme thirst is not a typical symptom specifically related to hypokalemia. It's more associated with the body's response to fluid loss.
C.Potassium is essential for cardiac conduction. Hypokalemia can cause dysrhythmias, irregular pulse, and weak heart contractions due to decreased excitability of myocardial cells.
D.Hyperactive bowel sounds might be present in clients with gastrointestinal issues like diarrhea, but they are not directly caused by hypokalemia. They are more likely a consequence of the underlying gastrointestinal condition causing the electrolyte imbalance.
Correct Answer is ["A","B","D"]
Explanation
A. Elevated systolic blood pressure: Acute glomerulonephritis can often cause hypertension (high blood pressure), especially in the setting of kidney inflammation. Elevated blood pressure can be a common finding.
B. Fever: In acute glomerulonephritis, fever can occur, particularly during the acute phase of the illness, as it often follows an infection like strep throat. Fever might be present, but it's not always a consistent finding.
C. Palpable kidney masses: Palpable kidney masses are not typical findings in acute glomerulonephritis. This condition primarily involves inflammation within the kidneys and doesn't usually cause palpable masses.
D. Diffuse abdominal pain: Acute glomerulonephritis can cause nonspecific abdominal discomfort.
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