A client with end-stage renal disease is getting ready to undergo hemodialysis. Which factors would the nurse assess before the client starts the dialysis session? Select all that apply.
Before starting a session of hemodialysis, a nurse assesses her client’s AV fistula. The nurse listens to the fistula with a stethoscope and notes a swishing sound under the skin. Which action of the nurse is most appropriate?
A nurse is caring for a client with diabetes who has experienced a progressive decrease in their kidney function. Which of the following areas will the nurse monitor to track the client’s nephropathy?
A nurse is examining a client who has a nursing diagnosis of fluid volume excess due to renal insufficiency. Which of the following clinical signs is most associated with fluid volume excess in the client with renal insufficiency?
A nurse is caring for a 69-year-old client who has just been diagnosed with disequilibrium syndrome after his first session of hemodialysis. Which symptoms would the nurse expect to see in a client with this syndrome?
A nurse is caring for a client with a newly formed internal arteriovenous fistula. The client asks the nurse about potential complications. Which of the following are common complications for an AV fistula?
The nurse is caring for a client scheduled for dialysis at 0930 and is giving the client’s 0900 medications. Which of the following medications requires further clarification?
A client who receives peritoneal dialysis has called the nurse to explain that he is unable to infuse the dialysate into the catheter. When the nurse arrives at the client’s home, which method would the nurse use to assess for an occlusion?
A nurse is taking care of a client who has just returned from a session of hemodialysis. The physician has ordered a percutaneous nephrolithotomy for the client and the nurse does not schedule the procedure until 8 hours later. What is the rationale for this?
Following a client’s first session of hemodialysis, the nurse is providing information to the client and family about care at home. Which of the following information should the client be aware of that will prevent damage to the hemodialysis fistula site?
