The client being hemodialyzed suddenly becomes short of breath and complains of
chest pain. The client is tachycardic, pale, and anxious. The nurse
... [Show More] suspects air
embolism. What are the priority nursing actions? SATA:
a. Administer O2 to the client
b. Continue dialysis at a slower rate after checking the lines for air
c. Notify the HCP and Rapid Response Team
d. Stop dialysis and turn the client on the left side with the head lower than feet
e. Bolus the client with 500 mL of normal saline to break up the air embolus. -
CORRECT ANSWER a. Administer O2 to the client
c. Notify the HCP and Rapid Response Team
d. Stop dialysis and turn the client on the left side with the head lower than feet
A client arrives at the ED with complaints of low abdominal pain and hematuria. The
client is afebrile. The nurse next assess the client to determine a history of which
condition?
a. Pyelonephritis
b. Glomerulonephritis
c. Trauma to the bladder or abdomen
d. Renal cancer in the client's family - CORRECT ANSWER c. Trauma to the bladder or
abdomen
The nurse is assessing the patency of a client's arm arteriovenous fistula prior to
initiating hemodialysis. Which finding indicates that the fistula is patent?
a. Palpation of a thrill over the fistula
b. Presence of a radial pulse in the left wrist
c. Visualization of enlarged blood vessels at the fistula site
d. Capillary refill less than 3 seconds in the nail beds of the fingers on the left hand -
CORRECT ANSWER a. Palpation of a thrill over the fistula
The nurse monitoring a client receiving peritoneal dialysis notes that the client's outflow
is less than the inflow. Which actions should the nurse take? SATA:
a. Check the level of the drainage bag
b. Reposition the client to his/her side
c. Contact the HCP
d. Place the client in good body alignment
e. Check the peritoneal dialysis system for kinks
f. Increase the flow rate of the peritoneal dialysis solution - CORRECT ANSWER a.
Check the level of the drainage bag
b. Reposition the client to his/her side [Show Less]