Author Question: A client is experiencing a multisystem fluid volume deficit after hemodialysis. The nurse assesses ... (Read 168 times)

jerry coleman

  • Hero Member
  • *****
  • Posts: 570
A client is experiencing a multisystem fluid volume deficit after hemodialysis. The nurse assesses the symptoms present as tachycardia; pale, cool skin; and decreased urine output.
 
  The nurse determines that the client has not met the expected outcome for a client on hemodialysis, which would be to experience: 1. A reduction of extracellular fluid.
   2. The pharmacological effects of a diuretic infused in the dialysate.
   3. The effects of rapidly infused intravenous fluids.
   4. Cardiac failure.

Question 2

The nursing manager asks a nurse to participate in data collecting for the unit. The nurse cooperates in order to:
 
  1. Advance the nurse's practice.
   2. Participate in the quality improvement process.
   3. Prevent problems from arising in the unit.
   4. Fulfill legal requirements.



Qarqy

  • Sr. Member
  • ****
  • Posts: 313
Answer to Question 1

1. Experience a reduction of extracellular fluid.

Rationale:
The client on hemodialysis is expected to have a reduction of extracellular fluid, not a fluid deficit that puts the client at risk. Diuretics are not administered during hemodialysis nor are IV fluids. Cardiac failure would not be an expected outcome of treatment.

Answer to Question 2

2. Participate in the quality improvement process.

Rationale:
Quality improvement is the name for the processes used by an agency to measure and improve aspects of client care. The nurse may advance practice, but that is usually accomplished by returning to school for a higher degree. Preventing problems from arising is only one benefit of quality management. Nurses are encouraged to participate in quality improvement programs but are not legally required to do so.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
 

Did you know?

If you use artificial sweeteners, such as cyclamates, your eyes may be more sensitive to light. Other factors that will make your eyes more sensitive to light include use of antibiotics, oral contraceptives, hypertension medications, diuretics, and antidiabetic medications.

Did you know?

On average, the stomach produces 2 L of hydrochloric acid per day.

Did you know?

Approximately 500,000 babies are born each year in the United States to teenage mothers.

Did you know?

Hip fractures are the most serious consequences of osteoporosis. The incidence of hip fractures increases with each decade among patients in their 60s to patients in their 90s for both women and men of all populations. Men and women older than 80 years of age show the highest incidence of hip fractures.

Did you know?

Symptoms of kidney problems include a loss of appetite, back pain (which may be sudden and intense), chills, abdominal pain, fluid retention, nausea, the urge to urinate, vomiting, and fever.

For a complete list of videos, visit our video library