Which of the following nursing considerations is important when caring for a client undergoing hemodialysis?

Administering intravenous fluids during the procedure

Assessing blood pressure before and after the procedure

Encouraging the client to consume a high-sodium diet

Monitoring electrolyte levels weekly

Answer and Explanation

The Correct Answer is B

Choice a reason: Administering intravenous fluids during the procedure is not a common practice in hemodialysis. The primary goal of hemodialysis is to remove excess fluids and waste products from the blood. Administering IV fluids during the procedure would counteract this goal and could potentially lead to fluid overload. Any fluid administration should be carefully monitored and controlled based on the client's specific needs and medical condition.
Choice b reason: Assessing blood pressure before and after the procedure is essential in managing clients undergoing hemodialysis. Hemodialysis can cause significant fluctuations in blood pressure due to the removal of fluid and changes in blood volume. Monitoring blood pressure helps in detecting and managing hypotension or hypertension, ensuring the client's hemodynamic stability throughout the procedure. It also helps in adjusting the dialysis prescription and fluid removal rate to optimize the treatment.
Choice c reason: Encouraging the client to consume a high-sodium diet is not advisable for clients undergoing hemodialysis. High sodium intake can lead to fluid retention and hypertension, which are detrimental to clients with kidney disease. Instead, clients are often advised to follow a low-sodium diet to help control blood pressure and reduce the risk of fluid overload.
Choice d reason: Monitoring electrolyte levels weekly is important but not always adequate. Clients on hemodialysis may require more frequent monitoring of electrolytes, especially potassium, phosphorus, and calcium, to ensure that levels remain within a safe range. Frequent monitoring helps in adjusting the dialysis treatment and dietary recommendations to prevent complications related to electrolyte imbalances.

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Correct Answer is A

Explanation

Choice a reason: Straining all urine is an essential intervention for a patient with a kidney stone. This practice allows for the collection and analysis of any stones that pass, which can help determine their composition and guide future treatment and dietary recommendations. Identifying the type of stone is crucial for preventing recurrence.
Choice b reason: Restricting fluids is not recommended for patients with kidney stones. In fact, increasing fluid intake is encouraged to help flush out the urinary system, promote the passage of stones, and prevent the formation of new stones. Adequate hydration is a key component in managing and preventing kidney stones.
Choice c reason: Increasing calcium intake is not typically advised for patients with kidney stones, especially calcium oxalate stones. While calcium is an essential nutrient, excessive intake can contribute to stone formation. Dietary recommendations should be individualized based on the type of stones and the patient's overall health.
Choice d reason: Maintaining bedrest is not necessary for patients with kidney stones. Encouraging movement and activity can help facilitate the passage of stones. Bedrest may be recommended in specific cases where the patient is experiencing severe pain or complications, but generally, mobility is beneficial in managing kidney stones.

Correct Answer is ["5"]

Explanation

Step 1 is to calculate the number of hours it will take to infuse 1000 mL at a rate of 200 mL per hour.

Step 2 is to divide the total volume by the rate of infusion:

1000 mL ÷ 200 mL/hr

Step 3 is to perform the division:

1000 ÷ 200 = 5

Result: 5 hours

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Which of the following nursing considerations is important when caring for a client undergoing hemodialysis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is planning care for a patient who is admitted to the hospital with a diagnosis of a kidney stone. Which of the following interventions would the nurse implement?

Correct Answer is A

Explanation

A nurse is preparing to administer 0.9% sodium chloride IV infusion 1000 mL bag at a rate of 200 mL/hr for a client who has renal calculi. The nurse should expect the IV pump to infuse over how many hours?

Correct Answer is ["5"]

Explanation

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