Chapter 68: Care of Patients with Acute Kidney Injury and Chronic Kidney Disease - Nurselytic

Correct Answer: B

Rationale: The blood pressure of 110/98 mm Hg is relatively low post-hemodialysis and could indicate hypotension, a common complication. The most appropriate action is to monitor the client closely for signs of hypotension, such as dizziness or weakness, to ensure stability.

Correct Answer: A

Rationale: Dialysis works by diffusion, not osmosis. The client's statement about osmosis indicates a misunderstanding, as osmosis refers to water movement, whereas dialysis involves the movement of toxins and solutes across a semipermeable membrane from an area of higher to lower concentration.

Correct Answer: B

Rationale: An opaque or cloudy effluent is the first sign of peritonitis. A sample of the effluent would need to be sent to the laboratory for culture and sensitivity in order to administer the correct antibiotic. Warming the dialysate in a microwave and flushing the tubing are not safe actions by the nurse.

Correct Answer: A

Rationale: By taking blood pressure, the nurse is assessing for hypotension that could compromise perfusion to the new kidney. The nurse then should notify the provider immediately. Skin turgor, lung sounds, and weight could give information about the fluid status of the client, but they are not the priority assessment.

Correct Answer: A

Rationale: The low urine output, sediment, and hematuria should be reported to the provider, as these could indicate complications such as rejection or obstruction in the newly transplanted kidney.