The nurse is teaching the main principles of hemodialysis to a ...

[09madisonrousseau09]

The 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 2

A 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.

[miss.ashley]

Answer to Question 1

ANS: B
Dialysis works using the passive transfer of toxins by diffusion. Diffusion is the movement of molecules from an area of higher concentration to an area of lower concentration. The other statements show a correct understanding about hemodialysis.

Answer to Question 2

ANS: D
Heparin is used with hemodialysis treatments. The bleeding alerts the nurse that too much anticoagulant is in the client's system and protamine sulfate should be administered. Pressure, taking vital signs, and assessing for a bruit or thrill are not as important as medication administration.