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 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.

A. Draw daily labs B. Transport the urine specimen to the lab C. Provide perineal care with soap and water around a urinary catheter D. Insert the foley catheter E. Assist the incontinent patient to the commode at regular intervals

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

Explanation

A. Drawing daily labs: This is a clinical task that requires specialized knowledge and skills and should not be delegated to UAP.

B. Transport the urine specimen to the lab: This is a non-clinical task that UAP can perform.

C. Provide perineal care with soap and water around a urinary catheter: UAP can assist with perineal care as it is a routine task that does not require clinical judgment.

D. Insert the foley catheter: Inserting a Foley catheter is a sterile procedure requiring clinical expertise and cannot be delegated to UAP.

E. Assist the incontinent patient to the commode at regular intervals: UAP can assist with toileting and incontinence care.

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

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Naxlex Comprehensive Predictor Exams

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

Explanation

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