A patient receiving hemodialysis becomes dizzy and hypotensive shortly after treatment begins. Which action should the nurse take first?
Correct answer: A. Place the patient supine and assess vital signs
- A. Place the patient supine and assess vital signs
- B. Offer a high-potassium fruit drink
- C. Ask the patient to stand and walk slowly
- D. Increase the prescribed ultrafiltration rate
Explanation
Hypotension during dialysis may result from excessive or rapid fluid removal, so the immediate priority is to support circulation and reassess the patient. Potassium-rich drinks and increased ultrafiltration may worsen the problem, and walking is unsafe while the patient is dizzy.
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About Renal and Urological Nursing
Covers assessment and care for urinary tract infection, glomerulonephritis, nephrotic syndrome, acute kidney injury, chronic kidney disease, renal stones and urinary obstruction. The subject includes intake and output, urinalysis, fluid restriction, dialysis care and the difference between prerenal, intrinsic and postrenal kidney injury.
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