A child is receiving hemodialysis. The parents ask why ...

[lidoalex]

A child is receiving hemodialysis. The parents ask why hypotension is a possible complication. Which response by the nurse is the most appropriate?
 
  A.
  It could be from the anticoagulant we use.
  B.
  Kidney disease can often cause hypotension.
  C.
  The treatment is removing fluid from his body.
  D.
  Your child is critically ill and is unstable.

Question 2

A child is receiving home peritoneal dialysis. When the visiting nurse assesses the patient, he finds the outflow from the dialysis to be cloudy. Which action by the nurse is the most appropriate?
 
  A.
  Call 911 and send the child to the hospital.
  B.
  Call the nephrology clinic to make an appointment.
  C.
  Review teaching with the child on the process.
  D.
  Take a full set of vitals and notify the provider.

[spencer.martell]

Answer to Question 1

ANS: C
Hemodialysis removes fluid from the child's body, sometimes at a rate that causes hemodynamic instability, including hypotension. The other answers are not accurate.

Answer to Question 2

ANS: D
Cloudy outflow could indicate peritonitis, a serious complication of peritoneal dialysis. The nurse should take a full set of vitals to assess for infection and call the provider. The child does not need 911. Teaching can be done later. The child should not wait for an appointment.