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

Answer and Explanation

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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Correct Answer is A

No explanation

A. A client who is taking gentamicin for infection B. A client who has heart failure C. A client who is 1 day postoperative following a colon resection D. A client who has pneumonia

Correct Answer is ["A","B","C"]

Explanation

A.Gentamicin is known to be nephrotoxic and can potentially cause kidney damage, especially if not properly monitored for dosage and duration of use. Therefore, this client is at increased risk for AKI due to the medication.

B.Heart failure, particularly when it is acute or decompensated, can reduce renal perfusion, leading to prerenal acute kidney injury. In heart failure, the reduced cardiac output leads to decreased blood flow to the kidneys, which can impair kidney function and result in AKI.

C.Postoperative patients are at risk for AKI due to various factors such as surgical stress, blood loss during surgery, use of anesthesia, and potential complications that can affect kidney function during the recovery phase.

D.Pneumonia itself does not directly cause acute kidney injury. In the absence of complications like sepsis or dehydration, pneumonia alone is not a significant direct risk for AKI.

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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.)

Incorrect:

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client admitted to the urology unit with complaints of shortness of breath and a diagnosis of chronic kidney disease. Which of the following pathophysiological changes in the renal system led to the admitting diagnosis of chronic kidney disease?

Correct Answer is A

A nurse is caring for a group of clients on a medical unit. Which of the following clients is the most at risk for an acute kidney injury? (Select all that apply.)

Correct Answer is ["A","B","C"]

Explanation

A nurse is collecting data from a client who has hypokalemia as a result of nausea, vomiting, and diarrhea. Which of the following findings show the nurse expect?

Among which is not a clinical finding of an overhydrated patient

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A nurse is caring for a group of clients, who all are incontinent of urine, on the medical-surgical unit. Which comorbidities should the nurse expect to find in their medical records? (Select all that apply.)

A nurse is caring for a client admitted with acute glomerulonephritis. The client wants to know how this condition occurs. Which of the following best describes the pathological process of acute glomerulonephritis?

A nurse is collecting data from a client who has an inadequate dietary intake of fiber. Which of the following findings should the nurse expect?

A nurse working on a medical-surgical unit suspects that several clients have Clostridium difficile (C. difficile) when they all develop watery diarrhea. Which of the following actions should the nurse plan to take while waiting for the client's lab results?