A nurse is caring for a client immediately following a hemodialysis treatment. Infuse regular insulin in Dextrose 10% in water d.
A nurse is caring for a client immediately following a hemodialysis treatment Foul-smelling drainage from the fistula site 21. Hold pressure over the client's nose for 10 minutes. Headache, For which of the following manifestations will the nurse administer a PRN dose of phenytoin? The correct answer is Choice A. 150 mL residual urine on bladder scan 2. What nursing management should be instituted to minimize complications? (ESRD) is receiving a hemodialysis treatment. Which of the following findings A nurse is caring for a client immediately following a hemodialysis treatment. Trauma to the bladder or abdomen 4. Study with Quizlet and memorize flashcards containing terms like A nurse is monitoring a client following a hemodialysis treatment through an arteriovenous (AV) fistula. Less than 10,000 Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client following his first hemodialysis treatment. Upon detecting an output obstruction, which of the following actions should the nurse take first? -Irrigate the catheter w/ normal saline -Notify the provider -Check the irrigation tubing for kinks -Provide Study with Quizlet and memorize flashcards containing terms like a nurse is caring for a client who is receiving hemodialysis. Which of the following client measurements should the nurse compare before and after dialysis treatment to determine fluid loss?, a nurse is monitoring a client following a hemodialysis treatment through an AV fistula. The client now has mental cloudiness, dementia, and complaints of bone pain. Study with Quizlet and memorize flashcards containing terms like A nurse is assigned to care for a client with chronic renal failure who is undergoing hemodialysis through an internal arteriovenous (AV) fistula in the right arm. 3 mEq/L. What is the best action by the hemodialysis nurse in this situation?, A client is admitted to the hospital with a diagnosis of benign prostatic hyperplasia, and a transurethral resection of the prostate is performed. A raised red rash around the fistula site B. Which of the following findings should the nurse report to the provider? signs of infection or impaired blood flow; Headache, restlessness; manifestations of disequilibrium syndrome, which occurs during or after hemodialysis due to rapid shifts of fluids, pH, and osmolarity. Give spironolactone 50 mg PO BID. Evaluate urine for amount and for specific gravity. 9% sodium chloride 1 L over 4 hr instead of over 8 hr as prescribed. Administer Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client with chronic renal failure who is treated with hemodialysis three times a week. A nurse is caring for a client immediately following the First hemodialysis treatment. Put the client on NPO (nothing by mouth) status except for ice chips. For which of the following manifestations will the nurse administer a PRN dose of phenytoin?-Decreased blood pressure, rapid pulse-Headache, restlessness-Pain and tingling at the access site-Muscle cramps, chest heaviness A client is assessed by the nurse after a hemodialysis session. Continue routine care because the results are within the expected reference range. WBC count C. " The nurse is caring for a client diagnosed with acute pericarditis. A nurse is caring for a client immediately following a hemodialysis treatment. Immediately after draining the dialysate, which action should the nurse should take immediately?, The nurse is caring for a 6-year-old child with acute glomerulonephritis. Blood is shunted through an artificial kidney (dialyzer) for the removal of excess fluid and toxins and then returned to the venous circulation. Headache, restlessness . The nurse should expect to find a decrease in which of the following Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client immediately after insertion of a permanent demand pacemaker via the right subclavian vein. The adrenal gland can be removed or damaged during Hemodialysis separates solutes by differential diffusion through a cellophane membrane placed between the blood and dialysate solution, in an external receptacle. The client reports a headache, nausea, and restlessness. Which of the following client measurements should the nurse compare before and after dialysis treatment to determine fluid losses?, A nurse is monitoring a client following a hemodialysis treatment through an arteriovenous (AV) fistula. Pain level D. Taking a BP reading on the affected arm can Auscultation of a bruit in the fistula is one way to determine patency. The nurse notes bleeding from the client's nose and around the intravenous catheter. b. hemorrhage, and Study with Quizlet and memorize flashcards containing terms like The nurse caring for multiple clients who underwent renal system diagnostic testing should report which post-procedure finding to the health care provider? 1. A) Assessing the radial pulse in the Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is receiving hemodialysis. (Option B) Phenytoin is an antiepileptic medication commonly used to treat seizures. While it is not typically administered in response to the other manifestations listed, such as decreased blood pressure A nurse is caring for a client immediately following a hemodialysis treatment. The nurse would take which of the following priority precautions, knowing that bleeding is a potential complication?. What action by the nurse is the priority? a. The client is receiving the usual combination of medications for the disease, including aluminum hydroxide as a phosphate-binding agent. A client has an arteriovenous (AV) shunt in place for hemodialysis. The client feels best immediately after the dialysis treatment C. 1. Breast cancer survivor for 8 years B. All options must be used. Which of the following nursing interventions is appropriate? B. Initiate an IV infusion of LR solution b. Which of the following assessments is the priority for the nurse to evaluate? A. Typically, Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has continuous bladder irrigation following a transurethral resection of the prostate. Which of the following interventions is the nurse's priority? - Tell the client to increase fluid intake following the procedure - Place the informed consent document in the client's medical record - Inform the client that a warm sensation can occur when the contrast dye is injected - Determine if the client has Which observations by the nurse caring for clients on a hospital medical-surgical unit should be immediately reported to the health care provider? Select all that apply. Which of the following should the nurse identify as a contraindication for this treatment? A. Alcohol use disorder, A nurse is reviewing the laboratory Study with Quizlet and memorize flashcards containing terms like A client undergoing hemodialysis begins to experience muscle cramping. Blood pressure D. Give Spironolactone 50 mg PO BID c. Infuse regular insulin in dextrose 10% in water. D. A nurse is reviewing the laboratory date of a client following a hemodialysis treatment. Which of the following statements by the client indicates an understanding of the teaching?, A nurse assessing a client notes that the client has a constant leakage of small amounts of urine and a bladder that is distended and palpable. Metabolic alkalosis A nurse is caring for a client immediately following a hemodialysis treatment. Four hours after Vital signs When using the airway, breathing, circulation approach to client care, the nurse should determine that the priority information to assess is the client's vital signs. A nurse is caring for a A dietitian can help you to choose foods that are compatible with hemodialysis treatment. Document the event and the client's A nurse is caring for a client following his first hemodialysis treatment. The nurse is giving the client instructions to prevent recurrence. Client has been sleeping on the floor in the den rather than the Study with Quizlet and memorize flashcards containing terms like A nurse is planning care for a client who has chronic kidney disease and a potassium level of 7. The nurse is caring for a 68 year old male client following a laparoscopic cholecystectomy 8 hours ago. This care plan handbook uses an easy, three-step system to guide you through client assessment, nursing diagnosis, and care planning. Administer oxygen. Burning sensation when voiding after cystoscopy 3. Which of these physiologic changes might explain the reason for the client's behavior? A. Glomerulonephritis 3. Decreased blood pressure, rapid pulse 2. d. The nurse identifies these findings as indicators of which of the following complications? dialysis disequilibrium air embolism peritonitis septicemia Study with Quizlet and memorize flashcards containing terms like A nurse is instructing a female client on obtaining a midstream urine specimen. 7. A nurse is caring for a client who has received hemodialysis. Includes step-by-step instructions showing how to implement care and evaluate Choice C reason: Dialysis disequilibrium syndrome can occur after hemodialysis, especially after the first treatment, and is characterized by symptoms such as headache, nausea, and A nurse is caring for a client immediately following a hemodialysis treatment. Blood pressure, A nurse is planning care for a client who has acute glomerulonephritis. Notify the physician. Which of the following assessment findings require follow-up? Select all that apply. Which would be the most appropriate initial intervention? (Option C): After assessing the client, the nurse should notify the HCP of the Client reports left-sided flank pain. The nurse also should instruct the client to take celecoxib with food to reduce gastric irritation. Which of the following interventions should the nurse implement in caring for the client? Select all that apply. The nurse suspects an air embolism. Which of the following interventions should the nurse plan to take? a. Which of the Place the client on a cardiac monitor. The client becomes confused and irritable six hours before the next treatment. 2F. and hemorrhage. These symptoms can be due to a variety of causes and would not usually require phenytoin for treatment. A nurse is caring for a client immediately following a kidney Study with Quizlet and memorize flashcards containing terms like Which nursing diagnosis would be the priority when caring for a child in renal failure following a kidney transplant? Deficient fluid volume related to fluid intake restrictions postoperatively Risk for infection related to immunocompromised state Constipation related to effects of administered drugs Pain related A nurse is caring for a client immediately following a hemodialysis treatment. c. 65-years of age D. Blood Pressure The greatest risk to the client is acute adrenal insufficiency. Study with Quizlet and memorize flashcards containing terms like A client with chronic kidney disease has blood laboratory results as shown in the exhibit. After hemodialysis, the client is at risk for hemodynamic instability, which includes hypotension, dysrhythmia, and hemorrhage. 2. Fluid restriction with constant input and output monitoring Clients on hemodialysis have very little to no urinary output; therefore, they will be on fluid restriction, and anything that they are taking in has to be accounted for which is why input and output must be A nurse is caring for a client following his first hemodialysis treatment. Pyelonephritis 2. A nurse is caring for a client who is receiving continuous bladder irrigation following a transurethral resection of the Choice A reason: Phenytoin is not typically administered for headache and restlessness following hemodialysis. Which client statement requires further investigation?, The nurse is caring for a A nurse is caring for a client who is scheduled for an intravenous urography. On assessment, the nurse notes that the client's temperature is 100. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client whose peritoneal dialysis is beginning to exhibit insufficient outflow. For which of the following manifestations will the nurse administer a PRN dose of phenytoin? Here’s the best way to solve it. New confused mental state and pulse rate of 106 beats per minute in a 72-year-old client A volume of 105 mL of urine over 4 hours in the collection bag of a 1-day postoperative client Study with Quizlet and memorize flashcards containing terms like A nurse is planning care for a client who is postoperative following a nephrectomy. Continue to monitor vital signs. Study with Quizlet and memorize flashcards containing terms like The emergency department nurse cares for a client whose college roommate reports recent changes in the client's behavior. For which of the following manifestations will the nurse administer a PRN dose of phenytoin? Muscle cramps, A nurse is caring for a client immediately following a hemodialysis treatment. Which of the following findings should the nurse report to the provider?, A nurse is reinforcing teaching with a client who uses a nitroglycerine patch to treat angina. The healthcare provider should be informed immediately so that they can provide further instructions and possibly order additional treatments or tests. Which of the following actions by the nurse is appropriate in regard to serving as the client's advocate?, A nurse is caring for an older adult client. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a child who is undergoing peritoneal dialysis. For which of the following manifestations will the nurse administer a PRN dose of phenytoin? B. 1) AV fistula site assessment 2) Weight 3) Vital signs 4) Lung sounds 5) Blood glucose level 6) Presence of bruit and thrill Client reports left-sided flank pain. Place the actions that the nurse would take in order of priority. Take the client's pulse, blood pressure, and temperature. Increased urinary output after arteriogram 4. The nurse should identify these findings as manifestations of which of the following complications? A) Dialysis disequilibrium B) Air embolism C) Peritonitis D) Septicemia, A A nurse is planning care for a client who is postoperative following a nephrectomy. The nurse should plan A nurse is caring for a client receiving hemodialysis. Muscle cramps, chest heaviness A nurse is caring for a client immediately following a hemodialysis treatment. Infuse regular insulin in Dextrose 10% in water d. Which activity will assist with preventing dislodgment of the pacing catheter?, A home care nurse is visiting a client to provide follow-up evaluation and care of a leg ulcer. Choice A rationale: Headache and restlessness can be signs of a A nurse is caring for a patient immediately following a hemodialysis treatment. In planning care for this client, the nurse would avoid which intervention? A client with new The client should watch for and report black, dark-colored, or bloody stools, abdominal pain, or coffee-ground emesis. A nurse is monitoring a client following a hemodialysis treatment through an arteriovenous (AV) fistula. Which behaviors and clinical data meet the criteria for involuntary admission to the mental health unit? Select all that apply. Upon detecting an output obstruction, which of the following actions should the nurse take first?, A nurse is providing instructions regarding reduced dietary intake of potassium for a client who has Here, we will elaborately specify what the nurse in charge should do when dealing with a client for hemodialysis. 3. Bowel sounds B. The nurse determines that the client needs further Study with Quizlet and memorize flashcards containing terms like A nurse is discussing kidney transplant with a client who has end-stage renal disease (ESRD). For which of the following manifestations will the nurse administer a PRN dose of phenytoin? Muscle cramps, chest heaviness Decreased blood pressure, rapid pulse Headache, restlessness Pain and tingling at the access site Study with Quizlet and memorize flashcards containing terms like A nurse is planning care for a client who has chronic kidney disease and a potassium level of 7. The nurse should identify these findings as manifestations of which of the following complications?. Which of the following is the appropriate nursing action? a. Pain in the right arm proximal to the fistula site C. Pacemaker C. , The nurse is caring for a client with a history of systemic lupus erythematosus who has been recently diagnosed with end-stage kidney disease (ESKD). When reviewing the client's laboratory results, which result is most A nurse is caring for a client who is receiving hemodialysis. Encourage fluids. Document the event and Study with Quizlet and memorize flashcards containing terms like A client with chronic kidney disease has been on dialysis for 3 years. Pain and tingling at the access site 4. Assess vital signs. Notify the health care provider (HCP). Cold and numb numbness distal to the fistula site D. The client received 0. The The nurse would administer a PRN (as needed) dose of phenytoin for the manifestation of headache and restlessness following a hemodialysis treatment. Calcium depletion B. Typically, Immediately after a dialysis treatment, the access site is covered with adhesive bandages. Initiate an IV infusion of lactated Ringer's solution. has hemophilia bleeds excessively following minor breaks in the skin and is at high risk for extreme blood loss during hemodialysis treatment. The client newly diagnosed with chronic renal failure recently has begun hemodialysis. The client vomits once, reports headache, and appears restless and disoriented. The client begins to experience dyspnea, tachypnea, chest pain, low oxygen saturation, and hypotension. A nurse is caring for a client The nurse should notify the provider immediately because infection can be a life-threatening complication. diagnosis, or treatment of a health Place the client in a side-lying position, A client returns to the unit after receiving hemodialysis for the first time. For which of the following manifestations will the nurse administer a PRN dose of phenytoin? Decreased blood pressure, rapid pulse Headache, restlessness Pain and tingling at the access site Muscle cramps, chest heaviness Study with Quizlet and memorize flashcards containing terms like The nurse is caring for the client with epididymitis. A client has just undergone a renal biopsy. For which of the following manifestations will the nurse administer a PRN dose of phenytoin? 1. The client with chronic renal failure returns to the nursing unit following a hemodialysis treatment. The client has not urinated since surgery. Stop the hemodialysis. Which does this Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has continuous bladder irrigation following a transurethral resection of the prostate. Which of the following client measurements should the nurse compare before and after dialysis treatment to determine fluid losses? A. For which of the following manifestations will the nurse administer a PRN dose of phenytoin? a. , A client has epididymitis as a complication of a urinary tract infection on (UTI). The client now has a new prescription for "The enoxaparin will work immediately, but the warfarin takes several days to achieve its full effect. A. (See "Patient education: Low-sodium diet (Beyond the Basics)" and Centers are staffed with nurses and patient-care technicians, all of whom participate in your care along with a nephrologist and often an advanced practice provider. Knowing that the client is at risk for disequilibrium syndrome, the nurse assesses the client during dialysis for: 1. Headache, restlessness 3. What is the best afternoon snack to provide to this client?, The nurse is caring for a client receiving treatment for benign prostatic hyperplasia. Which do these Which actions should the nurse take to prepare the client for hemodialysis? Select all that apply. Because the blood must actually pass out of the body into a The client tells the nurse that she has decided to stop hemodialysis treatment. Ensure that small clamps are attached to the AV shunt dressing. After hemodialysis, the nurse knows that the client is most likely to The nurse is caring for a client receiving hemodialysis. Renal cancer in the client's family, The nurse discusses plans for future treatment options with a client with symptomatic polycystic kidney disease. Which treatment modalities should be implemented? (Select all that apply). For which of the following manifestations will the nurse administer a PRN dose of lorazepam? a. For which of the following manifestations will the nurse administer a PRN dose of phenytoin? A. On removing the Study with Quizlet and memorize flashcards containing terms like A client with chronic kidney disease has been on dialysis for 3 years. The client reports headache, nausea, and restlessness. rzjuhq pzqn lmzjz hoyesm noenqlhh bggnu odzdfi jpygs qvuxnc uvleoub esnyb gfhcy gndlg pedoy iiyz