The client with chronic renal failure is scheduled for hemodialysis at 9 am. They are scheduled to receive oral daily medications. Which statement best describes when the nurse should administer the medications?

During dialysis

Give as scheduled

After returning from dialysis

Hold the medications for today and restart tomorrow

Answer and Explanation

The Correct Answer is C

A. During dialysis: Some drugs can bind to the dialysis membrane or be removed unpredictably.

B. Give as scheduled: If given before dialysis, the drugs may be removed from circulation.

C. After returning from dialysis: Dialysis removes medications from the bloodstream. Giving medications before dialysis may result in drug loss. Oral medications should be given after dialysis to ensure proper absorption and effectiveness.

D. Hold the medications for today and restart tomorrow: Unnecessary, as the client needs their medications post-dialysis.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Place the client on seizure precautions: Metabolic alkalosis can cause neuromuscular excitability, increasing the risk of seizures.

B. Encourage the client to breathe slowly: Slow breathing retains CO₂, which worsens alkalosis. The body needs hypoventilation, but this cannot be forced.

C. Plan to administer sodium bicarbonate to the client: Sodium bicarbonate worsens alkalosis and is only used in metabolic acidosis, not alkalosis.

D. Have the client breathe into a paper bag: This is a treatment for respiratory alkalosis, not metabolic alkalosis.

A. Administer scheduled medications B. Explain that dialysis occurs via the peritoneum C. Weigh the client to determine a baseline for comparison D. Obtain a serum creatinine to determine kidney function

Correct Answer is C

Explanation

A. Administer scheduled medications: Some medications (e.g., antihypertensives, water-soluble vitamins, and antibiotics) should be held before dialysis to prevent removal during treatment.

B. Explain that dialysis occurs via the peritoneum: This describes peritoneal dialysis, not hemodialysis.

C. Weigh the client to determine a baseline for comparison: Pre-dialysis weight is crucial to determine fluid removal needs during dialysis. Weight differences before and after dialysis indicate fluid loss or retention.

D. Obtain a serum creatinine to determine kidney function: Serum creatinine levels are monitored regularly but are not a required step before every dialysis session.

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The client with chronic renal failure is scheduled for hemodialysis at 9 am. They are scheduled to receive oral daily medications. Which statement best describes when the nurse should administer the medications?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has metabolic alkalosis. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A client is to have hemodialysis. What must the nurse do before this treatment?

Correct Answer is C

Explanation

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