Renal Replacement Therapies Quiz
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What is the main function of hemodialysis?
A. Maintain electrolyte balance
B. Regulate fluid balance
C. Extract toxic substances from the blood and remove excess water
D. Filter the blood
What is the purpose of strict asepsis with catheter care in dialysis patients?
A. To prevent electrolyte imbalances
B. To prevent hypertension
C. To prevent infection
D. To prevent hypotension
The client newly diagnosed with chronic renal failure recently has begun hemodialysis. Knowing that the client is at risk for disequilibrium syndrome, the nurse assesses the client during dialysis for:
A. Hypertension, tachycardia, and fever.
B. Hypotension, bradycardia, and hypothermia.
C. Restlessness, irritability, and generalized weakness.
D. Headache, deteriorating level of consciousness, and twitching.
What is the purpose of leg exercises and early ambulation for dialysis patients?
A. To prevent infection
B. To prevent dehydration
C. To prevent hypotension
D. To prevent DVT
The client with chronic renal failure is scheduled for hemodialysis this morning is due to receive a daily dose of enalapril. The nurse should plan to administer this medication:
A. During dialysis
B. Just before dialysis.
C. The day after dialysis.
D. On return from dialysis.
During hemodialysis, wastes are removed from the patient’s blood by:
A. Osmosis
B. Diffusion
C. Filtration
D. Ultrafiltration
What is a key nursing management consideration for patients on dialysis?
A. Monitor for signs of hyperthyroidism
B. Monitor for signs of uremia and electrolyte imbalance
C. Monitor for signs of hypoglycemia
D. Monitor for signs of dehydration
The nurse is caring for a client receiving peritoneal dialysis. The nurse notes that a client’s outflow has slowed considerably. Which of the following actions will the nurse take. SATA
A. Place the client in good body alignment.
B. Check the peritoneal dialysis system for kinks.
C. Check the level of the drainage bag.
D. Reposition the client to his or her side.
E. All above are true
What is the purpose of a dialyzer in hemodialysis?
A. To regulate fluid balance
B. To maintain electrolyte balance
C. To serve as a synthetic semipermeable membrane for filtering
D. To remove excess water
What is the primary function of a dialyzer in hemodialysis?
A. To maintain electrolyte balance
B. To regulate fluid balance
C. To serve as a synthetic semipermeable membrane for filtering
D. To remove excess water
How are toxins and wastes removed in hemodialysis?
A. By filtration
B. By diffusion
C. By ultrafiltration
D. By osmosis
The client with continuous ambulatory peritoneal dialysis (CAPD) has cloudy dialysate. Which of the following is the best initial nursing action?
A. Notify the provider and send fluid to the laboratory for culture
B. Administer antibiotic
C. Do nothing, this is expected
D. Stop the drainage of fluid
The nurse recognizes that which of the following is an indication to begin dialysis?
A. When the client is no longer able to tolerate medications.
B. Once the GFR reaches 25.
C. Less than 20% of nephrons are still functioning.
D. When the client reaches stage 3 CKD.
During hemodialysis, excess fluid is removed by:
A. Osmosis
B. Diffusion
C. Filtration
D. Ultrafiltration
What is the content of the dialysate solution used in hemodialysis?
A. Water and electrolytes
B. Water, bicarbonate, and some electrolytes
C. Water and bicarbonate
D. Bicarbonate and electrolytes