A client is having a peritoneal dialysis treatment. The nurse notes an opaque color to the effluent. What is the priority action by the nurse?
a. Warm the dialysate solution in a microwave before instillation.
b. Take a sample of the effluent and send to the laboratory.
c. Flush the tubing with normal saline to maintain patency of the catheter.
d. Check the peritoneal catheter for kinking and curling.
Question 2The nurse is teaching the main principles of hemodialysis to a client with chronic kidney disease. Which statement by the client indicates a need for further teaching by the nurse?
a. My sodium level changes by movement from the blood into the dialysate.
b. Dialysis works by movement of wastes from lower to higher concentration.
c. Extra fluid can be pulled from the blood by osmosis.
d. The dialysate is similar to blood but without any toxins.
Question 3A client is assessed by the nurse after a hemodialysis session. The nurse notes bleeding from the client's nose and around the intravenous catheter. What action by the nurse is the priority?
a. Hold pressure over the client's nose for 10 minutes.
b. Take the client's pulse, blood pressure, and temperature.
c. Assess for a bruit or thrill over the arteriovenous fistula. d.
Prepare protamine sulfate for administration.
Question 4A client is placed on fluid restrictions because of chronic kidney disease (CKD). Which assessment finding would alert the nurse that the client's fluid balance is stable at this time?
a. Decreased calcium levels
b. Increased phosphorus levels
c. No adventitious sounds in the lungs
d. Increased edema in the legs
Question 5A client with chronic kidney disease (CKD) is experiencing nausea, vomiting, visual changes, and anorexia. Which action by the nurse is best?
a. Check the client's digoxin (Lanoxin) level.
b. Administer an anti-nausea medication.
c. Ask if the client is able to eat crackers.
d. Get a referral to a gastrointestinal provider.
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