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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D","E","G"]
Explanation
A. Abdomen rigid with decreased bowel sounds: A rigid, tender abdomen suggests peritonitis, a life-threatening complication of peritoneal dialysis requiring immediate intervention.
B. Glucose 220 mg/Dl: Elevated glucose is concerning but not immediately life-threatening compared to the other findings.
C. No dialysis for 24 hours: Missing dialysis leads to toxin accumulation, hyperkalemia, and fluid overload, all of which can be life-threatening.
D. Crackles throughout the lungs: Fluid overload can cause pulmonary edema, leading to respiratory distress. Immediate intervention is needed to prevent respiratory failure.
E. WBC 17,000 mm³: Leukocytosis suggests infection, possibly peritonitis, which requires urgent antibiotic therapy.
F. Hemoglobin 10 g/dL: Mild anemia is expected in CKD and not an emergency.
G. Potassium 7 mEq/L: Severe hyperkalemia is a medical emergency due to the risk of life-threatening cardiac arrhythmias.
H. Creatinine 3 mg/dl: Creatinine is chronically elevated in CKD and not an acute concern.
Correct Answer is C
Explanation
A. Stable blood pressure, normal urine output, and flat neck veins. BP and urine output are not stable in hypovolemia.
B. Nausea, vomiting, diarrhea, and normal blood pressure. These can contribute to hypovolemia, but BP is not normal in severe cases.
C. Tachycardia, decreased blood pressure, and decreased urine output. Hypovolemia (low blood volume) causes compensatory tachycardia to maintain perfusion. BP drops due to decreased circulatory volume. Urine output decreases (<30 mL/hr) due to reduced renal perfusion.
D. Tachycardia, increased blood pressure, and poor skin turgor. BP is decreased, not increased in hypovolemia.
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