Medsurg 3 part 3

Question 1

Functions of Dialysis: Rids the body of

Answer 1

excess fluid and electrolytes

Question 2

Functions of Dialysis: Achieves

Answer 2

acid-base balance

Question 3

Functions of Dialysis: Eliminates

Answer 3

waste products

Question 4

Dialysis can sustain life for clients who have both

Answer 4

acute and chronic renal failure

Question 5

Dialysis does not replace the ___ functions of the kidneys.

Answer 5

hormonal

Question 6

Two types of dialysis are

Answer 6

hemodialysis and peritoneal dialysis

Question 7

Hemodialysis works by

Answer 7

shunting the client’s blood from the body through a dialyzer and back into circulation.

Vascular access is needed for hemodialysis.

Question 8

2 less obvious indications for Hemodialysis

Answer 8

drug OD

Persistant hyperkalemia

Question 9

following surgical development of AV fistula,

Answer 9

elevate the arm to reduce swelling

Question 10

A kind of medication that should be held before dialysis

Answer 10

meds that lower BP

Question 11

Have ___ sulfate ready to reverse heparin if needed.

Answer 11

protamine

Question 12

Advise the client not to ___ during dialysis.

Answer 12

eat

Question 13

Expected findings after dialysis

Answer 13

Decreases in blood pressure and laboratory values

Question 14

1 liter weighs

Answer 14

1 kg

Question 15

Avoid invasive procedures for ___ hours after dialysis due to the risk of bleeding related to an anticoagulant.

Answer 15

4 to 6

Question 16

Check the access site at intervals following dialysis, if bleeding

Answer 16

apply light pressure

Question 17

Contact the provider if bleeding from the insertion site lasts longer than ___ following dialysis

Answer 17

30 min

Question 18

Dialysis: Eat well-balanced meals to include foods high in ___ (beans, green vegetables), and take ___ supplements

Answer 18

folate

protein

Question 19

Dialysis: Perform ___ exercises that promote fistula maturation.

Answer 19

hand

Question 20

Dialysis complication: caused by too rapid a decrease of BUN and circulating fluid volume

Answer 20

Disequilibrium syndrome

Question 21

Disequilibrium syndrome: may result in

Answer 21

cerebral edema and increased intracranial pressure

Question 22

Use a slow dialysis exchange rate, especially for

Answer 22

older adult clients and those being treated

with hemodialysis for the first time

Question 23

Nursing action for Disequilibrium syndrome: you may need to administer

Answer 23

anticonvulsants/barbiturates

Question 24

Hypotension caused by dialysis: first 2 steps

Answer 24

give IV fluids (which raises BP) and slow the dialysis rate

Question 25

Hypotension caused by dialysis: position the pt

Answer 25

HOB lowered

Question 26

Hypotension caused by dialysis: For severe hypotension that is unresponsive to fluid replacement

Answer 26

discontinue the dialysis

Question 27

Peritoneal dialysis definition

Answer 27

you put of hypertonic dialysate solution into the peritoneal cavity.

Allow the solution to sit in the peritoneal cavity.

Drain the solution that includes the waste products.

Question 28

In Peritoneal dialysis, the filtration membrane is the

Answer 28

peritoneum

Question 29

Peritoneal Dialysis is contraindicated in someone who has undergone

Answer 29

multiple surgeries involving the peritoneum (peritoneum must be intact for the process to work)

Question 30

Peritoneal dialysis is the treatment of choice for

Answer 30

older adults

Question 31

• unable to tolerate anticoagulation.
• Have difficulty with vascular access.
• Have chronic infections or are unstable

These are indications for

Answer 31

Peritoneal dialysis

Question 32

Continuous ambulatory peritoneal dialysis (CAPD) frequency

Answer 32

7 days a week for 4 to 8 hours

Question 33

Activity level allowed during CAPD

Answer 33

no restrictions

Question 34

Peritoneal dialysis outflow color should be

Answer 34

clear, light yellow

Question 35

Peritoneal dialysis outflow volume should be

Answer 35

equal or greater than input volume

Question 36

___ the dialysate prior to instilling

Answer 36

warm (not in microwave)

Question 37

Peritoneal dialysis may need to eat foods high in

Answer 37

protein (because protein can be excessively drained during the procedure)

Question 38

Peritoneal dialysis are at risk for increased ___ and ___ levels because of the contents of the solution

Answer 38

high glucose and fat

Question 39

Peritoneal dialysis: ___ tubing to break up fibrin clot.

Answer 39

Milk

Question 40

Peritoneal dialysis: Tell the client to avoid constipation by

Answer 40

using stool softeners and consuming a diet high in fiber