During dialysis, the client becomes nauseous, reports feeling dizzy, and is hypotensive. What should the nurse do FIRST?
Slow the rate of the dialysis
Administer zofran
Place the client in modified Trendelenburg's position
Administer oxygen via nasal cannula
The Correct Answer is C
A. Slowing the rate of dialysis may be appropriate if the hypotension persists, but the priority action is to improve circulation immediately.
B. Zofran is used to treat nausea, but it is not the priority in this case.
C. Placing the client in a modified Trendelenburg’s position (head down, feet up) helps improve circulation and increase blood pressure.
D. Administering oxygen may be helpful if oxygen saturation is low, but the primary concern here is addressing hypotension and improving circulation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Lightheadedness is a common side effect of Flomax (tamsulosin) due to its alpha-blocking effect, which can cause vasodilation and a drop in blood pressure.
B. Bradycardia is not a typical side effect of Flomax. It mainly affects alpha receptors in the prostate and bladder, not the heart rate.
C. Burning with urination is more likely to be related to a urinary tract infection (UTI) rather than Flomax.
D. Temporary loss of libido is not a common side effect of Flomax, though it may be associated with other medications like finasteride used in BPH treatment.
Correct Answer is A
Explanation
A. Hyponatremia and hyperkalemia: In the oliguric phase, the kidneys retain potassium due to decreased excretion, leading to hyperkalemia. Hyponatremia occurs due to fluid retention and dilutional effects.
B. Hyperkalemia and hypophosphatemia: Hyperkalemia is expected, but hypophosphatemia is not typical; phosphate tends to accumulate due to reduced renal clearance.
C. Hypokalemia and hyponatremia: Hypokalemia is not expected; the kidneys fail to excrete potassium, causing hyperkalemia.
D. Hypernatremia and hypokalemia: Neither hypernatremia nor hypokalemia is consistent with the oliguric phase.
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