Ch 51 Dialysis CRRT Kidney Transplant 2024 Review Questions and Correct Answers

Which action would the nurse complete first if a patient develops lightheadedness and nausea during hemodialysis? Ans--Decrease the rate of fluid removal Which clinical manifestation or lab value would indicate to the nurse that dialysis (renal replacement therapy) may be required for a patient with acute kidney injury (AKI)? Select all that apply. One, some or all responses may be correct. Ans--1. Glomerular filtration rate (GFR) of 13 mL/min/1.73 m2 2. Increasingly elevated blood pressure 5. Elevated serum potassium Which action would the nurse take to support a 93-year old patient with endstage renal disease who refuses dialysis, is mentally stable, and does not want aggressive treatment but whose family is unsupportive of the decision? Ans--Explain to the family that the patient is competent. Treatment would be burdensome to the patient and is not what the patient desires. Which specific safety precaution would the nurse take to care for a patient with an arteriovenous fistula (AVF) or arteriovenous graft (AVG)? Select all that apply. One, some, or all responses may be correct. Ans--1. Interventions to prevent clotting of the vascular access 2. Meticulous aseptic technique to prevent infection of vascular access 4. Ensuring peripheral venous access and venipuncture is in the contralateral extremity 5. Taking blood pressure measurements in the contralateral extremity Which type of vascular access is suitable for a patient awaiting fistula placement? Ans--Cuffed hemodialysis (HD) catheter Which information would the nurse give a patient about automated peritoneal dialysis (APD)? Ans--"You may need to supplement APD with manual exchanges." Which phase of dialysis is adjusted for patient comfort? Ans--Inflow