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

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Notify the provider: This is not the first action. The nurse should assess and attempt to resolve the issue before escalating it to the provider.

B. Irrigate the catheter: This may be required if the catheter remains obstructed, but the nurse should first assess for and address more straightforward causes like kinks.

C. Check the catheter for kinks: This is the first step because a kink or simple obstruction in the catheter tubing is a common cause of inadequate drainage. Addressing this can resolve the issue without additional interventions.

D. Adjust the rate of the bladder irrigant: The rate of irrigation is essential to prevent clots but should not be adjusted without addressing the immediate issue of no output.

A. pulmonary edema B. hypokalemia C. hypernatremia D. dehydration

Correct Answer is A

Explanation

A. Pulmonary edema: Fluid retention is a hallmark of the oliguric phase, leading to fluid overload and potential pulmonary edema.

B. Hypokalemia: Hyperkalemia, not hypokalemia, is expected in the oliguric phase.

C. Hypernatremia: Hyponatremia, rather than hypernatremia, is more likely due to dilutional effects from fluid retention.

D. Dehydration: Fluid retention and overload are characteristic of this phase, not dehydration.

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During dialysis, the client becomes nauseous, reports feeling dizzy, and is hypotensive. What should the nurse do FIRST?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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