Author Question: During routine hemodialysis, the 68-year-old patient complains of nausea and dizziness. Which action ... (Read 113 times)

Deast7027 · **on:** Jun 25, 2018

During routine hemodialysis, the 68-year-old patient complains of nausea and dizziness. Which action should the nurse take first?

a. Slow down the rate of dialysis.
b. Check patient's blood pressure (BP).
c. Review the hematocrit (Hct) level.
d. Give prescribed PRN antiemetic drugs.

Question 2

The nurse is assessing a patient 4 hours after a kidney transplant. Which information is most important to communicate to the health care provider?

a. The urine output is 900 to 1100 mL/hr.
b. The patient's central venous pressure (CVP) is decreased.
c. The patient has a level 7 (0 to 10 point scale) incisional pain.
d. The blood urea nitrogen (BUN) and creatinine levels are elevated.

Tonny · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: B
The patient's complaints of nausea and dizziness suggest hypotension, so the initial action should be to check the BP. The other actions may also be appropriate based on the blood pressure obtained.

Answer to Question 2

ANS: B
The decrease in CVP suggests hypovolemia, which must be rapidly corrected to prevent renal hypoperfusion and acute tubular necrosis. The other information is not unusual in a patient after a transplant.