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Author Question: A client with chronic kidney disease states, I feel chained to the hemodialysis machine. What is the ... (Read 22 times)

jhjkgdfhk

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on: Jun 25, 2018
A client with chronic kidney disease states, I feel chained to the hemodialysis machine. What is the nurse's best response to the client's statement?
 
  a. That feeling will gradually go away as you get used to the treatment.
  b. You probably need to see a psychiatrist to see if you are depressed.
  c. Do you need help from social services to discuss financial aid?
  d. Tell me more about your feelings regarding hemodialysis treatment.

Question 2

A nurse is caring for a client who is scheduled for a dose of cefazolin and vitamins at this time. Hemodialysis for this client is also scheduled in 60 minutes. Which action by the nurse is best?
 
  a. Administer cefazolin since the level of the antibiotic must be maintained.
  b. Hold the vitamins but administer the cefazolin.
  c. Hold the cefazolin but administer the vitamins.
  d. Hold all medications since both cefazolin and vitamins are dialyzable.


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fdliggud

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Reply #1 on: Jun 25, 2018
Answer to Question 1

ANS: D
The nurse needs to explore the client's feelings in order to help the client cope and enter a phase of acceptance or resignation. It is common for clients to be discouraged because of the dependency of the treatment, especially during the first year. Referrals to a mental health provider or social services are possibilities, but only after exploring the client's feelings first. Telling the client his or her feelings will go away is dismissive of the client's concerns.

Answer to Question 2

ANS: D
Both the cefazolin and the vitamins should be held until after the hemodialysis is completed because they would otherwise be removed by the dialysis process.


jhjkgdfhk

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Reply #2 on: Jun 25, 2018
Correct answers!


fdliggud

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Reply #3 on: Jun 25, 2018
Great! Please up vote :D


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