A client has been diagnosed with renal failure and is admitted for dialysis. Which of the ff is the nurse's responsibility as the client undergone dialysis?

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Burns Pediatric Primary Care Test Bank Questions

Question 1 of 5

A client has been diagnosed with renal failure and is admitted for dialysis. Which of the ff is the nurse's responsibility as the client undergone dialysis?

Correct Answer: C

Rationale: The nurse's responsibility during dialysis includes weighing the client before and after the procedure. This is important to monitor the amount of fluid removed during dialysis and to ensure that the client's fluid balance is managed properly. It helps in determining the effectiveness of dialysis treatment in removing excess fluid from the body. Keeping the client's fluid balance in check is crucial in managing renal failure and preventing complications such as fluid overload. Therefore, monitoring the client's weight before and after dialysis is a key responsibility of the nurse in this situation.

Question 2 of 5

The kidneys regulate acid-base balance by all of the following mechanisms except:

Correct Answer: B

Rationale: The kidneys help regulate acid-base balance through several mechanisms, including excreting hydrogen ions (H+), reabsorbing or excreting bicarbonate (HCO3-) into the blood, and retaining or excreting hydrogen ions. However, the kidneys do not play a direct role in reabsorbing carbon dioxide into the blood. Carbon dioxide is mainly managed in the body through the respiratory system, where it is exhaled as a waste product of metabolism.

Question 3 of 5

The nurse is aware that the shift of body fluids associated with the intravenous administration of albumin occurs by the process of:

Correct Answer: B

Rationale: Osmosis is the process by which water moves across a semi-permeable membrane to equalize concentrations on both sides of the membrane. When albumin is administered intravenously, it creates an osmotic pressure in the bloodstream that draws water from the interstitial space into the blood vessels. This shift of body fluids associated with the intravenous administration of albumin occurs through the process of osmosis.

Question 4 of 5

Which of the ff values pertaining to different clients shows the normal range of plasma pH?

Correct Answer: A

Rationale: The normal range of plasma pH in the human body typically falls between 7.35 and 7.45. This range is necessary to maintain the body's acid-base balance, which is crucial for normal physiological functioning. Deviations from this range can indicate acidosis (pH < 7.35) or alkalosis (pH > 7.45), both of which can have serious health implications. Therefore, option A (7.35-7.45) represents the normal range of plasma pH among different clients.

Question 5 of 5

Which vein should be used first when initiating IV therapy?

Correct Answer: B

Rationale: When initiating IV therapy, the basilic vein is often used first due to its accessibility and size. The basilic vein is a common choice for venipuncture because it is located on the medial aspect of the arm and tends to be easily palpable. Additionally, the basilic vein is also less prone to complications such as nerve damage compared to other deeper veins like the jugular or brachiocephalic veins. Therefore, utilizing the basilic vein as the initial site for IV therapy is a safe and efficient choice.

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