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The client receiving hemodialysis is complaining of being dizzy and light-headed. Which action should the nurse implement first?

A.

Obtain vital signs

B.

Bolus the client with 1000 m of normal saline

C.

Turn off the dialysis machine immediately

D.

Notify the health care provider as soon as possible

Answer and Explanation

The Correct Answer is A

A. Obtain vital signs: Dizziness and lightheadedness during dialysis suggest hypotension, a common complication. The nurse should first assess vital signs to determine the severity before taking further action.

B. Bolus the client with 1000 mL of normal saline: If the client is hypotensive, a smaller fluid bolus (e.g., 250–500 mL) would be more appropriate.

C. Turn off the dialysis machine immediately: Stopping dialysis abruptly may cause fluid overload and other complications. The rate may need adjustment but not immediate cessation.

D. Notify the health care provider as soon as possible: While important, assessing the client’s current status is the priority before contacting the provider.


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Related Questions

Correct Answer is D

Explanation

A. Respiratory Alkalosis: Would have high pH (>7.45) and low PaCO2 (<35 mmHg).

B. Metabolic Acidosis: Would have low pH and low HCO3 (<22 mEq/L).

C. Metabolic Alkalosis: Would have high pH and high HCO3 (>26 mEq/L).

D. Respiratory Acidosis: A low pH (<7.35) and high PaCO2 (>45 mmHg) indicate respiratory acidosis, which occurs due to hypoventilation, COPD, or respiratory failure. The bicarbonate (HCO3) is normal, meaning there is no metabolic compensation yet.

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}

Explanation

Respiratory acidosis- Due to opioid-induced respiratory depression (hypoventilation, CO₂ retention). Hypervolemia: IVF at 150ml/hr is a relatively high rate for someone with CHF. Even isotonic fluids like 0.9% sodium chloride can accumulate quickly and worsen cardiac workload.

Incorrect answers:

  • Metabolic alkalosis: typically occurs due to vomiting or excessive bicarbonate intake.
  • Osteomyelitis: Infection of the bone; not a direct risk in this scenario.

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